Apr 01, 2022 Issue
Midodrine Is Worth a Trial in People With Frequent Episodes of Vasovagal Syncope [POEMs]

Midodrine is a vasoconstrictor used to prevent orthostatic hypotension and may reduce the likelihood of recurrence of vasovagal syncope in patients with frequent episodes. It seems to work completely or not at all; during this study, the patients who had at least one episode of syncope had several e...

Sep 01, 2021 Issue
Efficient Approach to the Evaluation of Syncope [Lown Right Care: Reducing Overuse and Underuse]

A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.

Mar 15, 2021 Issue
Canadian Syncope Risk Score: A Validated Risk Stratification Tool [Point-of-Care Guides]

Which adults presenting to an emergency department with syncope should be hospitalized?

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.

Mar 1, 2017 Issue
Syncope: Evaluation and Differential Diagnosis [Article]

Learn how to categorize patients as low- or high-risk, and how risk stratification affects management.

Dec 15, 2016 Issue
Needle Phobia: A Vasovagal Response During Acupuncture [Close-ups]

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...

Sep 15, 2011 Issue
Evaluation of Syncope [Article]

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...

Sep 15, 2009 Issue
Is the San Francisco Syncope Rule Reliable? [AFP Journal Club]

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.

Aug 15, 2008 Issue
ACEP Policy on Evaluating Patients with Syncope in the Emergency Department [Practice Guidelines]

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 ...

Pages: 1 2 Next

Email Alerts

Don't miss a single issue. Sign up for the free AFP email table of contents.

Sign Up Now