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Journal articles on the topic 'Syncope – Diagnostic'

Author: Grafiati

Published: 4 June 2021

Last updated: 16 February 2022

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1

Palmisano, Pietro, Pier Luigi Pellegrino, Ernesto Ammendola, et al. "Risk of syncopal recurrences in patients treated with permanent pacing for bradyarrhythmic syncope: role of correlation between symptoms and electrocardiogram findings." EP Europace 22, no. 11 (2020): 1729–36. http://dx.doi.org/10.1093/europace/euaa188.

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Abstract Aims To evaluate the risk of syncopal recurrences after pacemaker implantation in a population of patients with syncope of suspected bradyarrhythmic aetiology. Methods and results Prospective, multicentre, observational registry enrolling 1364 consecutive patients undergoing pacemaker implantation for syncope of bradyarrhythmic aetiology (proven or presumed). Before pacemaker implantation, all patients underwent a cardiac work-up in order to establish the bradyarrhythmic aetiology of syncope. According to the results of the diagnostic work-up, patients were divided into three groups:

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2

Sheldon, Robert. "Syncope Diagnostic Scores." Progress in Cardiovascular Diseases 55, no. 4 (2013): 390–95. http://dx.doi.org/10.1016/j.pcad.2012.10.011.

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3

Rowland, Thomas W., Richard C. McFaul, and David A. Burton. "Syncope during Athletic Participation: A Diagnostic Case Study." Pediatric Exercise Science 3, no. 3 (1991): 263–70. http://dx.doi.org/10.1123/pes.3.3.263.

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Syncope during sports participation may serve as the first manifestation of cardiovascular disease that poses a risk for athletic training and competition. Other causes of syncope (vasovagal, dehydration) during physical activity may be more benign. The athlete who faints during sports deserves a comprehensive diagnostic evaluation that addresses the wide-ranging differential diagnosis involved. The case of a 14-year-old male with two syncopal spells during athletic training is presented to review the components of such a workup and subsequent management implications.

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4

Zhang, Qingyou, Lulu Zhu, Cheng Wang, et al. "Value of history taking in children and adolescents with cardiac syncope." Cardiology in the Young 23, no. 1 (2012): 54–60. http://dx.doi.org/10.1017/s1047951112000303.

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AbstractAimThis study was designed to investigate the value of history taking in identifying children with cardiac syncope, and to improve diagnostic efficiency and accuracy in children with cardiac syncope.Methods and ResultsWe compared the characteristics of a group of children and adolescents with cardiac syncope at the Pediatric Syncope Unit of five hospitals in China with those with typical vasovagal syncope. We included a cohort of 275 patients in Pediatric Syncope Unit. A cardiac cause of syncope was established in 31 patients, autonomic-mediated reflex syncope in 214, non-syncopal atta

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5

Mereu, Roberto, Arunashis Sau, and Phang Boon Lim. "Diagnostic algorithm for syncope." Autonomic Neuroscience 184 (September 2014): 10–16. http://dx.doi.org/10.1016/j.autneu.2014.05.008.

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6

Travaline, John M. "Diagnostic evaluation of syncope." American Journal of Medicine 91, no. 4 (1991): 444. http://dx.doi.org/10.1016/0002-9343(91)90172-t.

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7

N. Kapoor, Wishwa. "Diagnostic evaluation of syncope." American Journal of Medicine 90, no. 1 (1991): 91–106. http://dx.doi.org/10.1016/0002-9343(91)90511-u.

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8

Sutton, Brad S., Sarah L. Bermingham, Alexander Diamantopoulos, et al. "Economic value of insertable cardiac monitors in unexplained syncope in the United States." Open Heart 8, no. 1 (2021): e001263. http://dx.doi.org/10.1136/openhrt-2020-001263.

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IntroductionEarly use of insertable cardiac monitor (ICM) is recommended for patients with unexplained syncope following initial clinical workup, due to its superior ability to establish symptom-rhythm correlation compared with conventional testing (CONV). However, ICMs incur higher upfront costs, and the impact of additional diagnoses and resulting treatment on downstream costs and outcomes is unclear. We aimed to evaluate the cost-effectiveness of ICM compared with CONV for the diagnosis of arrhythmia in patients with unexplained syncope, from a US payer perspective.MethodsA Markov model was

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9

Silver, Kevin H., and Joseph S. Alpert. "Syncope." Journal of Intensive Care Medicine 7, no. 3 (1992): 138–48. http://dx.doi.org/10.1177/088506669200700303.

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Syncope is a common admitting diagnosis to intensive care units; however, in half the cases, the etiology goes undiagnosed. The prognosis is adversely affected in patients with a cardiogenic etiology. We discuss the clinical presentation and pathophysiology of cardiovascular causes of syncope (including arrhythmia and conduction disturbances, myocardial disorders, and valvular disorders), vascular causes (obstruction and decreased venous return), peripheral vascular causes (arterial and venous), and noncardiovascular causes (neurological and hematological). A thorough history and physical exam

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10

Chen, Li, Xueying Li, Ochs Todd, Cheng Wang, Hongfang Jin, and Junbao Du. "A clinical manifestation-based prediction of haemodynamic patterns of orthostatic intolerance in children: a multi-centre study." Cardiology in the Young 24, no. 4 (2013): 649–53. http://dx.doi.org/10.1017/s1047951113000929.

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AbstractObjective: At present, the haemodynamic diagnosis of orthostatic intolerance is based mainly on the head-up tilt table test, which is sometimes risky for patients. Thus, it is important to find objective and safe methods to differentiate haemodynamic patterns of orthostatic intolerance cases. Methods: In all, 629 children with orthostatic intolerance, either vasovagal syncope or postural orthostatic tachycardia syndrome, were included in the multi-centre clinical study. We analysed the association between the clinical manifestation and haemodynamic patterns of the patients. Results: Sy

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11

Hanna, Elias B. "Syncope: Etiology and diagnostic approach." Cleveland Clinic Journal of Medicine 81, no. 12 (2014): 755–66. http://dx.doi.org/10.3949/ccjm.81a.13152.

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12

Jassal, Davinder S., and Richard Lodge. "A Diagnostic Dilemma of Syncope." Chest 121, no. 4 (2002): 1377–78. http://dx.doi.org/10.1378/chest.121.4.1377.

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13

Țentea, Călina-Patricia, Csilla-Andrea Eötvös, Roxana-Daiana Lazar, et al. "Electrocardiographic Patterns in Patients with Neurally Mediated Syncope." Medicina 57, no. 8 (2021): 808. http://dx.doi.org/10.3390/medicina57080808.

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The baseline electrocardiogram (ECG) is less informative in neurally mediated syncope (NMS) than in arrhythmic syncope. However, some of the ECG patterns present in NMS can have diagnostic and prognostic value in such patients. Electrocardiographic documentation of a syncopal spell and thus identification of the ECG changes can be performed during tilt table test (TTT) or during prolonged ECG monitoring. This work reviews the specific ECG patterns in NMS, which are primarily related to the cardioinhibitory reflex. In addition, there are other ECG findings present in patients with NMS that are

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14

Napalkov, D. A., A. A. Sokolova, M. R. Kondratyuk, et al. "Predictors of the development of non-cardiogenic syncopal conditions at a young age." Cardiovascular Therapy and Prevention 18, no. 3 (2019): 69–74. http://dx.doi.org/10.15829/1728-8800-2019-3-69-74.

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Aim. Syncopal condition in young people are a relatively frequent and poorly understood medical problem. Non-cardiogenic syncope is not sufficiently studied because often they are not raise fears among doctors or patients, and at the same time their causes are associated with many complex medical and diagnostic aspects. The aim of the presented work is to identify the most significant risk factors in the development of non-cardiogenic syncopal conditions, identify triggers and assess the relationship between these factors, the lifestyle and development of syncope.Material and methods. The arti

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15

Futterman, LG, and L. Lemberg. "Unexplained syncope: diagnostic value of tilt-table testing." American Journal of Critical Care 3, no. 4 (1994): 322–25. http://dx.doi.org/10.4037/ajcc1994.3.4.322.

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Vasovagal syncope is a common syncope in patients who have no structural heart disease and occurs more often in young adults. It typically occurs in the erect posture, either standing or sitting. Upon recognition of the prodrome associated with NCS, subjects may avert syncope by lying down or putting the head between the knees. Use of head-up tilting is a recognized diagnostic tool and widely used for the evaluation of vasovagal syncope. However, cardiac diagnostic tests are not 100% accurate. This fact was recently underscored by what occurred in the recent tragic loss, due to ventricular fib

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16

Manolis, Antonis S. "Syncope: Current Diagnostic Evaluation and Management." Annals of Internal Medicine 112, no. 11 (1990): 850. http://dx.doi.org/10.7326/0003-4819-112-11-850.

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17

Dickey, J. Quen, and Hugh Calkins. "Diagnostic evaluation and management of syncope." Current Opinion in Cardiology 6, no. 1 (1991): 56–59. http://dx.doi.org/10.1097/00001573-199102000-00008.

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18

Kaufmann, Horacio, and Wouter Wieling. "Syncope: a clinically guided diagnostic algorithm." Clinical Autonomic Research 14, S1 (2004): i87—i90. http://dx.doi.org/10.1007/s10286-004-1013-1.

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19

Sutton, Richard, Artur Fedorowski, Brian Olshansky, et al. "Tilt testing remains a valuable asset." European Heart Journal 42, no. 17 (2021): 1654–60. http://dx.doi.org/10.1093/eurheartj/ehab084.

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Abstract Head-up tilt test (TT) has been used for &gt;50 years to study heart rate/blood pressure adaptation to positional changes, to model responses to haemorrhage, to assess orthostatic hypotension, and to evaluate haemodynamic and neuroendocrine responses in congestive heart failure, autonomic dysfunction, and hypertension. During these studies, some subjects experienced syncope due to vasovagal reflex. As a result, tilt testing was incorporated into clinical assessment of syncope when the origin was unknown. Subsequently, clinical experience supports the diagnostic value of TT. This i

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20

Blum, Franziska E., Olympia Idowu, and Sorin Danciu. "Pulmonary embolism in a patient with “isolated syncope”, a diagnostic challenge." Acute Medicine Journal 14, no. 1 (2015): 28–31. http://dx.doi.org/10.52964/amja.0408.

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Syncope is a recognized presenting symptom in patients with pulmonary embolism (PE), and is more common in older patients and following a large embolus. Isolated syncope, in the absence of dyspnea or tachycardia, is uncommon in this setting, and may be misdiagnosed as cardiac in origin, leading to a delay in appropriate treatment. We present a case which illustrates the importance of consideration of pulmonary embolism in the differential diagnosis of patients presenting with syncope, and the value of echocardiography in its diagnosis.

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21

Kowacs, Pedro André, Erasmo Barros da Silva Júnior, Heraldo Laroca dos Santos, et al. "Syncope or epileptic fits? Some examples of diagnostic confounding factors." Arquivos de Neuro-Psiquiatria 63, no. 3a (2005): 597–600. http://dx.doi.org/10.1590/s0004-282x2005000400008.

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Syncope is a condition often misdiagnosed as epileptic seizures. However, the differential diagnosis between both conditions can be quite difficult, even for well-trained physicians. Four cases of epilepsy and/or syncope are reported, to exemplify this situation. Each case is discussed individually, and the confounding factors are analyzed.

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22

Panther, Robert, Syed Mahmood, and Rami Gal. "Echocardiography in the Diagnostic Evaluation of Syncope." Journal of the American Society of Echocardiography 11, no. 3 (1998): 294–98. http://dx.doi.org/10.1016/s0894-7317(98)70092-6.

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23

KILGORE, CHRISTINE. "New Syncope Statement Features Cardiac Diagnostic Flowchart." Family Practice News 36, no. 6 (2006): 18. http://dx.doi.org/10.1016/s0300-7073(06)72827-4.

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24

Toarta, C., M. A. Mukarram, K. Arcot, et al. "LO96: Syncope prognosis based on emergency department diagnosis: a prospective cohort study." CJEM 19, S1 (2017): S61. http://dx.doi.org/10.1017/cem.2017.158.

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Introduction: Relatively little is known about outcomes after disposition among syncope patients assigned various diagnostic categories during emergency department (ED) evaluation. We sought to measure the 30-day serious outcomes among 4 diagnostic groups (vasovagal, orthostatic hypotension, cardiac, other/unknown) within 30 days of the index ED visit. Methods: We prospectively enrolled adult syncope patients at six EDs and excluded patients with pre-syncope, persistent mental status changes, intoxication, seizure, and major trauma. Patient characteristics, ED management, diagnostic impression

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25

Aksu, Tolga, Tumer Erdem Guler, Serdar Bozyel, Kivanc Yalin, and Rakesh Gopinathannair. "Usefulness of post-procedural heart rate response to predict syncope recurrence or positive head up tilt table testing after cardioneuroablation." EP Europace 22, no. 9 (2020): 1320–27. http://dx.doi.org/10.1093/europace/euaa230.

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Abstract Aims Previous reports have suggested that cardioneuroablation (CNA) can be effective in reducing syncopal recurrences in patients with vasovagal syncope (VVS). This study assessed the efficacy of CNA in preventing a positive response to head-up tilt testing (HUT). Methods and results This is a single-centre retrospective study reviewing prospectively collected data. Fifty-one consecutive patients with VVS were included in the study. After confirmation of &gt;3 s asystole on HUT, all patients underwent CNA. Head-up tilt testing was repeated 1 month after CNA. The main outcome measu

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26

Somlói, Miklós, Emil Toldy-Schedel, Zoltán Nényei, Róbert Böszörményi, and János Tomcsányi. "Role of implantable loop recorder in the clinical diagnosis of syncope: Results of the introduction of an effective diagnostic tool." Orvosi Hetilap 156, no. 15 (2015): 609–13. http://dx.doi.org/10.1556/oh.2015.30124.

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Introduction: Extension of electrocardiographic monitoring via loop recorder implantation may increase the diagnostic yield of syncope work-up. Aim: In this retrospective observational study, the authors wanted to evaluate the diagnostic performance of implantable loop recorder in the everyday clinical practice. Method: The authors analyzed the electronically stored data of all patients who underwent loop recorder implantation between 2005 and 2014 in their cardiology department because of recurrent syncope of undetermined origin. Results: There were 52 loop recorder implantations within the s

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27

Wardrope, Alistair, Jenny Jamnadas-Khoda, Mark Broadhurst, et al. "Machine learning as a diagnostic decision aid for patients with transient loss of consciousness." Neurology: Clinical Practice 10, no. 2 (2019): 96–105. http://dx.doi.org/10.1212/cpj.0000000000000726.

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BackgroundTransient loss of consciousness (TLOC) is a common reason for presentation to primary/emergency care; over 90% are because of epilepsy, syncope, or psychogenic non-epileptic seizures (PNES). Misdiagnoses are common, and there are currently no validated decision rules to aid diagnosis and management. We seek to explore the utility of machine-learning techniques to develop a short diagnostic instrument by extracting features with optimal discriminatory values from responses to detailed questionnaires about TLOC manifestations and comorbidities (86 questions to patients, 31 to TLOC witn

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28

Chang, Nai-Lun, Priyank Shah, Sharad Bajaj, Hartaj Virk, Mahesh Bikkina, and Fayez Shamoon. "Diagnostic Yield of Echocardiography in Syncope Patients with Normal ECG." Cardiology Research and Practice 2016 (2016): 1–7. http://dx.doi.org/10.1155/2016/1251637.

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Aim. This study aimed to assess the role of echocardiography as a diagnostic tool in evaluating syncope patients with normal versus abnormal electrocardiogram.Methods. We conducted a retrospective study of 468 patients who were admitted with syncope in 2011 at St. Joseph’s Regional Medical Center, Paterson, NJ. Hospital records and patient charts, including initial emergency room history and physical, were carefully reviewed. Patients were separated into normal versus abnormal electrocardiogram groups and then further divided as normal versus abnormal echocardiogram groups. Causes of syncope w

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Dan, Gheorghe-Andrei, Daniel Scherr, Kristine Jubele, et al. "Contemporary management of patients with syncope in clinical practice: an EHRA physician-based survey." EP Europace 22, no. 6 (2020): 980–87. http://dx.doi.org/10.1093/europace/euaa085.

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Abstract Syncope is a heterogeneous syndrome encompassing a large spectrum of mechanisms and outcomes. The European Society of Cardiology published an update of the Syncope Guidelines in 2018. The aim of the present survey was to capture contemporary management of syncope and guideline implementation among European physicians. A 23-item questionnaire was presented to 2588 European Heart Rhythm Association (EHRA) members from 32 European countries. The response rate was 48%, but only complete responses (n = 161) were included in this study. The questionnaire contained specific items regarding s

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30

Chirka, N. M., and L. M. Vakolyuk. "The significance of diagnostic aspects of Holter ECG monitoring in verifying the causes of syncopal states in young patients (clinical cases)." Reports of Vinnytsia National Medical University 23, no. 4 (2019): 621–24. http://dx.doi.org/10.31393/reports-vnmedical-2019-23(4)-11.

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Annotation. Fainting (syncope) in a given period of life occurs in almost a third of the population, but only in a small number of cases it is a manifestation of a serious disease. The purpose of this observation is to determine the causes of unconscious conditions in young people without a painful history and the absence of any other clinical manifestations and pathological changes in generally accepted laboratory and instrumental examinations. Holter daily ECG monitoring is today considered one of the most important and most effective ways to diagnose heart rhythm disturbances. This article

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31

Graber, Mark L., Andrew P. J. Olson, and Tanya Barnett. "Learning from tragedy – The Jessica Barnett story: challenges in the diagnosis of long QT syndrome." Diagnosis 8, no. 3 (2021): 392–97. http://dx.doi.org/10.1515/dx-2020-0113.

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Abstract We describe the case of Jessica Barnett, an adolescent girl whose repeated episodes of syncope and near-syncope were ascribed to a seizure or anxiety disorder. The correct diagnoses (congenital long QT syndrome; arrythmogenic right ventricular cardiomyopathy) were established by autopsy and genetic studies only after her death at age 17. The perspective of the family is presented, along with an analysis of what went right and what went wrong in Jessica’s diagnostic journey. Key lessons in this case include the value of family as engaged members of the diagnostic team, that a ‘hyperven

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32

Frazier, Howard S. "The Diagnosis of Syncope in the Elderly." International Journal of Technology Assessment in Health Care 9, no. 1 (1993): 102–11. http://dx.doi.org/10.1017/s026646230000307x.

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AbstractGiven a group of individuals presenting with syncope, the use of the standard diagnostic maneuvers will yield a diagnosis for approximately half. Promising new diagnostic tests offer the prospect of more efficient diagnostic pathways and treatments and demonstrate the need for better clinical trials before they are adopted.

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33

Wieling, W., N. van Dijk, F. J. de Lange, et al. "History taking as a diagnostic test in patients with syncope: developing expertise in syncope." European Heart Journal 36, no. 5 (2014): 277–80. http://dx.doi.org/10.1093/eurheartj/ehu478.

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34

İdil, Hasan, and Turgay Yılmaz Kılıc. "Diagnostic yield of neuroimaging in syncope patients without high-risk symptoms indicating neurological syncope." American Journal of Emergency Medicine 37, no. 2 (2019): 228–30. http://dx.doi.org/10.1016/j.ajem.2018.05.033.

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35

Bindra, Paveljit S., Francis E. Marchlinski, and David Lin. "Evaluation and Management of Syncope." Clinical medicine. Circulatory, respiratory and pulmonary medicine 2 (January 2008): CCRPM.S490. http://dx.doi.org/10.4137/ccrpm.s490.

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Context Syncope is a commonly encountered by primary care physicians and cardiologists. Etiology is frequently not apparent, and patients may undergo unnecessary tests. Treatment must be tailored to the likely etiology. Complexities of diagnosis and treatment often warrant referral to a specialist. Objective To highlight the evolving recommendations for managing syncope in a clinically and cost effective manner. Evidence Acquisition An electronic literature search was undertaken of the Medline database from January 1996 to April 2006, using the Medical Subject Heading syncope, defibrillators,

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Schnipper, Jeffrey L., and Wishwa N. Kapoor. "Diagnostic Evaluation and Management of Patients with Syncope." Medical Clinics of North America 85, no. 2 (2001): 423–56. http://dx.doi.org/10.1016/s0025-7125(05)70321-7.

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37

Redberg, R. "Diagnostic Utility of Echocardiography in Evaluation of Syncope." Journal of the American College of Cardiology 31, no. 2 (1998): 121A—122A. http://dx.doi.org/10.1016/s0735-1097(97)84233-7.

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38

Redberg, R. F., R. Ferguson, J. P. Miller, L. W. Lissin, and M. C. Dam. "Diagnostic utility of echocardiography in evaluation of syncope." Journal of the American College of Cardiology 31 (1998): 121–22. http://dx.doi.org/10.1016/s0735-1097(98)81172-8.

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39

Kühne, Michael, Beat Schaer, Christian Sticherling, and Stefan Osswald. "Holter Monitoring in Syncope: Diagnostic Yield in Octogenarians." Journal of the American Geriatrics Society 59, no. 7 (2011): 1293–98. http://dx.doi.org/10.1111/j.1532-5415.2011.03486.x.

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JHANJEE, RAJAT, J. GERT van DIJK, SCOTT SAKAGUCHI, and DAVID G. BENDITT. "Syncope in Adults: Terminology, Classification, and Diagnostic Strategy." Pacing and Clinical Electrophysiology 29, no. 10 (2006): 1160–69. http://dx.doi.org/10.1111/j.1540-8159.2006.00508.x.

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Colman, N., K. Nahm, J. G. van Dijk, J. B. Reitsma, W. Wieling, and H. Kaufmann. "Diagnostic value of history taking in reflex syncope." Clinical Autonomic Research 14, S1 (2004): i37—i44. http://dx.doi.org/10.1007/s10286-004-1006-0.

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42

Elashery, Ahmad Ramy, John W. Rickard, and Sammy Zakaria. "Exercise-Induced Syncope in a Sedentary Woman." Texas Heart Institute Journal 41, no. 6 (2014): 631–33. http://dx.doi.org/10.14503/thij-13-3683.

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Vasovagal (neurocardiogenic) syncope, a subtype of reflex syncope, has many well-known triggers. However, we found no previous report of vasovagal exercise-induced syncope in a sedentary person. We present the case of a 35-year-old sedentary woman who experienced vasovagal syncope as she underwent an exercise stress test. Results of evaluations, including resting and stress electrocardiography and echocardiography, were normal. Her presentation is highly unusual: syncope has typically not been associated with exercise except in young athletes, people with structural heart abnormalities, or peo

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Brignole, Michele, and Giulia Rivasi. "New insights in diagnostics and therapies in syncope: a novel approach to non-cardiac syncope." Heart 107, no. 11 (2021): 864–73. http://dx.doi.org/10.1136/heartjnl-2020-318261.

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This article aims to give advice on how to identify and manage patients with syncope who are at risk of severe outcomes, that is, at risk of trauma, potentially life-threatening episodes or frequent recurrences reducing quality of life. The first step of syncope diagnostic assessment is to identify patients with cardiac syncope, and once established, these patients must receive the adequate mechanism-specific treatment. If cardiac syncope is unlikely, reflex (neurally mediated) syncope and orthostatic hypotension are the most frequent causes of transient loss of consciousness. For these presen

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44

Viau, J. A., H. Chaudry, A. Hannigan, M. Boutet, M. A. Mukarram, and V. Thiruganasambandamoorthy. "MP23: The yield of computed tomography of the head in patients presenting with syncope: a systematic review." CJEM 19, S1 (2017): S72—S73. http://dx.doi.org/10.1017/cem.2017.189.

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Introduction: Syncope accounts for 1-3% of Emergency Department (ED) visits. Previous studies have reported overuse of computed tomography (CT) of the head among syncope patients. Professional organizations including Choosing Wisely have recommended against its use in the absence of high-risk features. However, a review of CT head use among syncope patients and its diagnostic yield has not been previously reported. Methods: We conducted a systematic review using EMBASE, Medline, and Cochrane databases from inception to August 2016. We included studies involving adult syncope patients that repo

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45

Yapar, Nikola, Ertugrul Altinbilek, Derya Ozturk, et al. "DIAGNOSTIC APPROACH AND EVALUATION OF SYNCOPE ETIOLOGY IN PATIENTS PRESENTING TO EMERGENCY DEPARTMENT WITH SYNCOPE." Journal of Pharmaceutical & Scientific Innovation 4, no. 2 (2015): 96–99. http://dx.doi.org/10.7897/2277-4572.04223.

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46

de Ruiter, Susanne C., Johan F. H. Wold, Tjeerd Germans, Jaap H. Ruiter, and René W. M. M. Jansen. "Multiple causes of syncope in the elderly: diagnostic outcomes of a Dutch multidisciplinary syncope pathway." EP Europace 20, no. 5 (2017): 867–72. http://dx.doi.org/10.1093/europace/eux099.

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47

Farwell, D. J. "Does the use of a syncope diagnostic protocol improve the investigation and management of syncope?" Heart 90, no. 1 (2004): 52–58. http://dx.doi.org/10.1136/heart.90.1.52.

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48

Reed, Matthew J., Neil R. Grubb, Christopher C. Lang, et al. "Diagnostic yield of an ambulatory patch monitor in patients with unexplained syncope after initial evaluation in the emergency department: the PATCH-ED study." Emergency Medicine Journal 35, no. 8 (2018): 477–85. http://dx.doi.org/10.1136/emermed-2018-207570.

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ObjectivesDiagnosing underlying arrhythmia in ED syncope patients remains problematic. This study investigates diagnostic yield, event prevalence, patient satisfaction and compliance, and influence on resource utilisation of an ambulatory patch monitor in unexplained ED syncope patients.MethodsProspective pilot study conducted in a single tertiary ED in Scotland between 17 November 2015 and 16 June 2017 with a historical unmatched comparator group. Patients 16 years or over presenting within 6 hours of unexplained syncope were fitted in the ED with an ambulatory patch ECG recorder (Zio XT moni

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49

Mecca, Fabio, Enrica Favaro, and Claudio Marengo. "Sincope: clinic risk determination and therapeutic management." Clinical Management Issues 1, no. 2 (2007): 51–62. http://dx.doi.org/10.7175/cmi.v1i2.609.

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Syncope is a frequent symptom characterizing a wide group of pathologies with very different prognosis. By this reason, it is necessary a careful risk stratification for a better patient management. For this aim medical history and physical examination are fundamental. Diagnostic exams complete and confirm diagnostic suspiciousness formulated by medical history and examination, but rarely give elements for unexpected diagnosis. Correct identification of pathological mechanism of syncope and determination of associated clinical risk allow the best patient management avoiding dangerous discharge

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Kosinski, D., B. P. Grubb, B. J. Karas, and S. Frederick. "Exercise-induced neurocardiogenic syncope." EP Europace 2, no. 1 (2000): 77–82. http://dx.doi.org/10.1053/eupc.1999.0065.

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Abstract:

Abstract The evaluation of syncope occurring during exercise or occurring spontaneously in highly trained individuals presents a unique diagnostic challenge. It is of critical importance to exclude potential life-threatening disorders such as hypertrophic cardiomyopathy, long QT syndrome, right ventricular dysplasia, anomalous coronary artery distribution, valvular heart disease, myocarditis, or exercise-induced arrhythmia. This review is not directed towards identifying, treating, or determining athletic eligibility of individuals with such disorders. Rather, we endeavour to discuss the patho

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