What cardiopulmonary exam findings are helpful in determining the etiology of syncope?

Updated: Jan 13, 2017
  • Author: Rumm Morag, MD, FACEP; Chief Editor: Erik D Schraga, MD  more...
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Answer

A detailed cardiopulmonary examination is essential. Irregular rhythms, ectopy, bradyarrhythmias, and tachyarrhythmias should be detected. Auscultation of heart sounds may reveal murmurs indicating high-grade valvular defects. Search for objective evidence of congestive heart failure, including jugular venous distension, lung rales, hepatomegaly, and pitting-dependent edema. Examine the abdomen for the presence of a pulsatile abdominal mass.


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