Document Detail

MedLine Citation:
PMID:  11055679     Owner:  NLM     Status:  MEDLINE    
Syncope is a common clinical presentation. Although most commonly benign, it may herald a pathology with a poor prognosis. The work-up of syncope includes a careful history, physical examination, electrocardiogram, risk stratification, and appropriately directed testing. The key factor in the investigation of syncope is the presence (or absence) of structural heart disease or an abnormal electrocardiogram. The most useful investigation in unexplained syncope with a normal heart is the tilt table test for evaluating predisposition to neurocardiogenic (vasovagal) syncope. In the setting of structural heart disease or an abnormal electrocardiogram, electrophysiologic studies play a more important role. The utility of noninvasive cardiac monitoring for symptom-rhythm correlation may be limited by infrequent symptoms. The availability of external and implantable loop recorders allows prolonged periods of monitoring to increase diagnostic yield. The management of patients with syncope may be complex. Early referral to a cardiac electrophysiologist is warranted in patients who are at high risk.
D J Heaven; R Sutton
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Critical care medicine     Volume:  28     ISSN:  0090-3493     ISO Abbreviation:  Crit. Care Med.     Publication Date:  2000 Oct 
Date Detail:
Created Date:  2000-11-14     Completed Date:  2000-11-14     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0355501     Medline TA:  Crit Care Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  N116-20     Citation Subset:  AIM; IM    
Electrophysiology Laboratory, Rush-Presbyterian-St. Luke's Medical Center, Chicago, IL, USA.
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MeSH Terms
Electrophysiologic Techniques, Cardiac
Exercise Test
Heart Diseases / complications
Hypotension, Orthostatic / physiopathology,  therapy
Physical Examination
Syncope / etiology*,  physiopathology,  therapy
Syncope, Vasovagal / etiology,  physiopathology
Tilt-Table Test

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

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