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Syncope: Clinical Presentation of Bronchial Asthma / Síncope: presentación clínica del asma bronquial
Williams-Phillips, S; Tulloch-Reid, M.
  • Williams-Phillips, S; Andrews Memorial Hospital. JM
  • Tulloch-Reid, M; Heart Institute of the Caribbean. JM
West Indian med. j ; 67(3): 279-282, July-Sept. 2018.
Article in English | LILACS | ID: biblio-1045853
ABSTRACT
ABSTRACT Syncope, first described by Hippocrates, can be differentiated into neurological, cardiac and non-cardiac in origin, and this differentiation is of prognostic significance. The cardiac causes of syncope, which can be structural, electrophysiological or infectious, have a relatively poor prognosis and are associated with ethnicity, geographic location and sudden cardiac death. In decreasing frequency, the cardiac causes are hypertrophic cardiomyopathy, anomalous coronary arteries, Marfan Syndrome and dilated cardiomyopathy. Electrophysiological causes include supraventricular causes, Wolf-Parkinson-White syndrome, ion channelopathies, long QT syndrome and Brugada syndrome. The index case with bronchial asthma presented with syncope. There is an increased morbidity and mortality of this specific group of patients, if undiagnosed and not optimally treated; hence the need for a high index of suspicion and early diagnosis, after exclusion of cardiac and more common neurological causes. This is the first documented case of syncope secondary to bronchial asthma in an Afro-Caribbean.
RESUMEN
RESUMEN El síncope, primeramente, descrito por Hipócrates, se puede clasificar como neurológico, cardíaco y no cardíaco atendiendo a su origen, y esta diferenciación tiene importancia pronóstica. Las causas cardíacas del síncope - que pueden ser estructurales, electrofisiológicas o infecciosas - tienen un pronóstico relativamente pobre y se asocian con la etnicidad, la localización geográfica y la muerte cardiaca repentina. En frecuencia decreciente, las causas cardíacas son la cardiomiopatía hipertrófica, las arterias coronarias anómalas, el síndrome de Marfan y la cardiomiopatía dilatada. Las causas electrofisiológicas incluyen las causas supraventriculares, el síndrome de Wolf-Parkinson-White, las canalopatías iónicas, el síndrome de QT largo, y el síndrome de Brugada. El caso índice con asma bronquial se presentó con síncope. Hay una mayor morbilidad y mortalidad de este grupo específico de pacientes, si no se diagnostica y no se trata de forma óptima. De ahí, la necesidad de un alto índice de suspicacia y diagnóstico temprano, luego de la exclusión de las causas cardíacas y las causas neurológicas más comunes. Éste es el primer caso documentado de síncope secundario al asma bronquial en un afrocaribeño.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Asthma / Syncope Type of study: Prognostic study / Screening study Limits: Child / Female / Humans Language: English Journal: West Indian med. j Journal subject: Medicine Year: 2018 Type: Article Affiliation country: Jamaica Institution/Affiliation country: Andrews Memorial Hospital/JM / Heart Institute of the Caribbean/JM

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Full text: Available Index: LILACS (Americas) Main subject: Asthma / Syncope Type of study: Prognostic study / Screening study Limits: Child / Female / Humans Language: English Journal: West Indian med. j Journal subject: Medicine Year: 2018 Type: Article Affiliation country: Jamaica Institution/Affiliation country: Andrews Memorial Hospital/JM / Heart Institute of the Caribbean/JM