2019 Volume 78 Issue 2 Pages 73-77
In the cardiovascular domain, as an underlying pathology that contributes to dizziness progresses, it often results in fainting or as a symptom in the pre-stage of fainting, often awareness of dizziness. Understanding that the causes of dizziness and fainting are almost the same, we consider that syncope is the most likely ultimate cause. There are many diseases that can lead to syncope. However, the causes that are commonly observed in routine practice include arrhythmia, orthostatic hypotension, neuroregulatory syncope, heart failure etc. The most important factor in diagnosis is obtaining a detailed medical history. By listening to the medical history in detail from the patient himself/herself or the discoverer with respect to the situation where the fainting occurred, the course of occurrence, the physical condition at that time, the outline of the disease can be obtained, and the examination can then be focused on confirming the diagnosis. There are also many cases to guide this process. Herein, we introduce the cardiovascular approach to syncope patients, from diagnosis to treatment.
