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Apr 1, 2018 Issue
Syncope Evaluation and Treatment Guidelines from ACC, AHA, and HRS [Practice Guidelines]
The American College of Cardiology (ACC), American Heart Association (AHA), and Heart Rhythm Society (HRS) have released guidelines to assist physicians in evaluating and treating syncope.
Learn how to categorize patients as low- or high-risk, and how risk stratification affects management.
A vasovagal response can be so severe that patients begin to fear the debilitating effects of syncope almost more than the needles themselves.
Jun 1, 2012 Issue
Risk Stratification of Patients Presenting with Syncope [Point-of-Care Guides]
A previous Point-of-Care Guide addressed risk stratification in patients with syncope and described two validated clinical decision rules. Shared variables between the two rules included abnormal findings on electrocardiography (ECG) and a history of congestive heart failure; other variables include...
Syncope is a transient and abrupt loss of consciousness with complete return to preexisting neurologic function. It is classified as neurally mediated (i.e., carotid sinus hypersensitivity, situational, or vasovagal), cardiac, orthostatic, or neurogenic. Older adults are more likely to have orthosta...
Can the San Francisco Syncope Rule successfully determine which patients can be safely discharged after an acute syncopal episode? External validation suggests that the sensitivity of the rule is lower than first reported. Physicians need to apply their clinical acumen and override the results of a clinical decision rule when necessary.
In 2007, the American College of Emergency Physicians (ACEP) updated its 2001 clinical policy on assessing patients with syncope in the emergency department. Syncope, which involves a brief loss of consciousness followed by spontaneous recovery, accounts for 1 to 1.5 percent of emergency department ...
Although syncope often is benign, it may have a serious underlying cause. An important question for primary care or emergency department physicians is whether the patient can be evaluated safely in the outpatient setting.
The American Heart Association (AHA) and the American College of Cardiology Foundation (ACCF) recently released a scientific statement on the evaluation of syncope (i.e., transient loss of consciousness).
Though relatively common, syncope is a complex presenting symptom defined by a transient loss of consciousness, usually accompanied by falling, and with spontaneous recovery. Syncope must be carefully differentiated from other conditions that may cause a loss of consciousness or falling. Syncope can...