Document Detail

Monitoring devices for falls and syncope.
MedLine Citation:
PMID:  12180249     Owner:  NLM     Status:  MEDLINE    
Monitoring devices are an important adjunct to the clinical assessment of patients who experience falls. The use of these devices should be guided by the clinical history, a physical assessment, and routine investigations. Quantitative measures of postural sway should be used in conjunction with clinical measures to provide a more accurate assessment of gait and balance. Assessment of blood pressure changes during the investigation of neurocardiovascular causes of syncope and falls in older adults should be performed with noninvasive digital photoplethysmographic devices, so long as their appropriate use and limitations are applied and understood. Only minimal information can be gained from short-term heart rate and rhythm monitoring in patients with infrequent symptoms. The usefulness of long-term ECG monitoring (with both external and implantable recorders) is well established for the diagnosis of unexplained syncope but requires further assessment in older individuals who experience falls. Twenty-four-hour measurements of ambulatory blood pressure generally are not diagnostically helpful in patients who experience falls or syncope but do have a role in the monitoring of therapeutic interventions.
Colette M Seifer; Steve W Parry
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinics in geriatric medicine     Volume:  18     ISSN:  0749-0690     ISO Abbreviation:  Clin. Geriatr. Med.     Publication Date:  2002 May 
Date Detail:
Created Date:  2002-08-15     Completed Date:  2002-12-23     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8603766     Medline TA:  Clin Geriatr Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  295-306     Citation Subset:  IM    
Cardiovascular Investigation Unit, Institute for the Health of the Elderly, University of Newcastle upon Tyne, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, United Kingdom.
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MeSH Terms
Accidental Falls / prevention & control*
Blood Pressure / physiology
Heart Rate / physiology
Middle Aged
Monitoring, Physiologic / methods*
Protective Devices
Syncope / diagnosis*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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