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Síncope en Urgencias: ¿Alta o Ingreso?

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Síncope en Urgencias: ¿Alta o Ingreso?

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Conceptos clave para el manejo del síncope en SUH

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bea artigas
bea artigas
Spain

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Síncope en Urgencias: ¿Alta o Ingreso?
 

Síncope en Urgencias: ¿Alta o Ingreso?Online version

Conceptos clave para el manejo del síncope en SUH

by bea artigas
1

Un síncope es toda pérdida de conocimiento autolimitada, corta, con recuperación espontánea completa, en contexto de una hipoperfusión cerebral.

2

Si el paciente explica pródromos, el cuadro clínico no es tan grave.

3

La exploración complementaria más importante en el síncope es el ECG

4

No es imprescindible una analítica a todos los síncopes, pero sí es importante una glicemia y unas constantes (tensión arterial y frecuencia cardíaca).

5

El PRE-síncope (es decir, no ha perdido completamente el nivel de conciencia), NO es tan grave como el síncope.

6

El síncope en esfuerzo o en posición supina, deben monitorizarse.

7

Todo síncope con sospecha de causa cardiogénica debe quedarse ingresado, o al menos monitorizado en Urgencias.

8

Si el paciente tiene cardiopatía estructural, soplos cardíacos, ECG patológico o palpitaciones previas, debe monitorizarse en Urgencias.

9

Si el paciente tiene cardiopatía estructural, soplos cardíacos, ECG patológico o palpitaciones previas, debe monitorizarse en Urgencias.

10

Un desencadenante claro (micción, tos, lugares concurridos, dolor, emoción...) ayuda a descartar gravedad o causa cardiogénica, y facilita el alta hospitalaria.

11

El síncope que ocurre inmediatamente después de la ingesta de alcohol en un paciente sin antecedentes cardíacos, se clasifica de entrada como de bajo riesgo.

12

El síncope con antecedentes familiares de muerte súbita constituye criterio de ingreso hospitalario.

13

Antes del alta hospitalaria, debe realizarse una seriación de troponinas y un TAC craneal.

 
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