Syncope and bundle branch block

Diagnostic approach
  • Angel Moya
  • Nuria Rivas-Gandara
  • Jordi Perez-Rodón
  • Jaume Franciso-Pascual
  • Alba Santos-Ortega
  • Patricia Fumero
  • Ivo Roca-Luque


Syncope and bundle branch block are reviewed, addressing their specific clinical characteristics, natural history, initial diagnostic approach and the role and limitations of different diagnostic tests with a special focus on electrophysiological studies and implantable loop recorders. A critical review of the different published strategies to be followed in these patients is made and finally an algorithm of how to manage these patients is proposed.


Implantable cardioverter–defibrillator Electrocardiogram Cardiac electrophysiology techniques Implantable loop recorder Tilt-table test 

Synkope und Schenkelblock

Diagnostisches Vorgehen


Synkope und Schenkelblock werden beurteilt in Hinblick auf deren spezifische klinische Charakteristika, natürlichen Verlauf und Verfahren zur initialen Diagnostik sowie die Bedeutung und Limitierungen verschiedener diagnostischer Untersuchungen mit speziellem Fokus auf elektrophysiologische Studien und implantierbare Loop-Rekorder. Es erfolgt eine kritische Beurteilung der unterschiedlichen publizierten Strategien bei diesen Patienten, und abschließend wird ein Algorithmus zur Behandlung solcher Patienten vorgeschlagen.


Implantierbarer Kardioverter-Defibrillator Elektrokardiogramm Kardiale elektrophysiologische Verfahren Implantierbarer Loop-Rekorder Kipptischuntersuchung 


Compliance with ethical guidelines

Conflict of interest

A. Moya, N. Rivas-Gandara, J. Perez-Rodón, J. Franciso-Pascual, A. Santos-Ortega, P. Fumero and I. Roca-Luque declare that they have no competing interests.

This article does not contain any studies with human participants or animals performed by any of the authors.


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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2018

Authors and Affiliations

  • Angel Moya
    • 1
    • 2
  • Nuria Rivas-Gandara
    • 2
  • Jordi Perez-Rodón
    • 2
  • Jaume Franciso-Pascual
    • 2
  • Alba Santos-Ortega
    • 2
  • Patricia Fumero
    • 1
  • Ivo Roca-Luque
    • 2
  1. 1.Arrhythmia Unit, Cardiology DepartmentHospital Universitari DexeusBarcelonaSpain
  2. 2.Arrhythmia Unit, Cardiology DepartmentHospital Universitari Vall d’HebronBarcelonaSpain

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