Acute loss of consciousness (***witnessed) concerning for syncope. Clinical history most suggestive of ***. Cardiogenic ddx includes structural, arrhythmic, and ischemic etiology. Noncardiogenic ddx includes orthostatic, vasovagal, PE, dissection, seizure, and basilar stroke.
- Orthostatic VS
- EKG, Telemetry
- CBC, BMP, Troponin, Lactate
- TTE if with concerning murmur or history
- Consider outpatient rhythm monitor per clinical scenario