Skip to main content
SpringerLink
Log in

Syncope Facilities: Background and Current Standards

  • Chapter
  • First Online:
Syncope

  • 1369 Accesses

Abstract

Currently, the strategies for assessment for T-LOC/syncope vary widely among physicians and among hospitals and clinics. In the case of syncope, patients are not adequately stratified according to risk, and more often than not the evaluation and treatment is haphazard. The result is an excessive number of hospital admissions, wide variation in the diagnostic tests applied, and the proportion and types of attributable diagnoses and the proportion of syncope patients in whom the diagnosis remains unexplained.1

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Brignole M, et al. Guidelines on management (diagnosis and treatment) of syncope – Update 2004. Europace. 2004;6:467–537.

    Article  PubMed  Google Scholar 

  2. Disertori M, et al. Management of syncope referred for emergency to general hospitals (EGSYS 1). Europace. 2003;5:283–291.

    Article  PubMed  CAS  Google Scholar 

  3. Ammirati F, et al. The management of syncope in the hospital: the OESIL Study (Osservatorio Epidemiologico della Sincope nel Lazio). G Ital Cardiol. 1999;29:533–539.

    PubMed  CAS  Google Scholar 

  4. Ben-Chetrit E, et al. Syncope: a retrospective study of 101 hospitalized patients. Isr I Med Sci Med. 1985;21:950–953.

    CAS  Google Scholar 

  5. Blanc JJ, et al. Prospective evaluation and outcome of patients admitted for syncope over 1 year period. Eur Heart J. 2002;23:815–820.

    Article  PubMed  Google Scholar 

  6. Day SC. Evaluation and outcome of emergency room patients with transient loss of consciousness. Am J Med. 1982;73:15–23.

    Article  PubMed  CAS  Google Scholar 

  7. Del Greco M, et al. The ECSIT study (Epidemiology and Costs of Syncope in Trento). Diagnostic pathway of syncope and analysis of the impact of guidelines in a district general hospital. Ital Heart J. 2003;4:99–106.

    PubMed  Google Scholar 

  8. Eagle KA, Black HR. The impact of diagnostic tests in evaluating patients with syncope. Yale J Biol Med. 1983;56:1–8.

    PubMed  CAS  Google Scholar 

  9. Farwell D, Sulke N. How do we diagnose syncope? J Cardiovasc Electrophysiol. 2002;13: S9–S13.

    PubMed  Google Scholar 

  10. Kapoor W. Evaluation and outcome of patients with syncope. Medicine. 1990;69:169–175.

    Article  Google Scholar 

  11. Oh JH, et al. Do symptoms predict cardiac arrhythmias and mortality in patients with syncope? Arch Intern Med. 1999;159:375–380.

    Article  PubMed  CAS  Google Scholar 

  12. Martin GJ, et al. Prospective evaluation of syncope. Ann Emerg Med. 1984;13:499–504.

    Article  PubMed  CAS  Google Scholar 

  13. Sarasin F, et al. Prospective evaluation of patients with syncope: a population-based study. Am J Med. 2001;111:177–184.

    Article  PubMed  CAS  Google Scholar 

  14. Kenny RA, et al. Impact of a dedicated syncope and falls facility for older adults on emergency beds. Age Ageing. 2002;31:272–275.

    Article  PubMed  Google Scholar 

  15. Shen WK, et al. Syncope evaluation in the emergency departments (SEEDS): A multidisciplinary approach to syncope management. Circulation. 2004;110:3636–3645.

    Article  PubMed  Google Scholar 

  16. Brignole M, et al. Standardized care pathway versus usual management of syncope referred in emergency to general hospitals (EGSYS 2). Europace. 2006;8:644–650.

    Article  PubMed  Google Scholar 

  17. Bartoletti A, et al. Hospital admission of patients referred to the emergency department for syncope: a single hospital prospective study based on the application of the European Society of Cardiology Guidelines on syncope. Eur Heart J. 2006;27:83–88.

    Article  PubMed  Google Scholar 

  18. McCarthy F, et al. Management of syncope in the Emergency Department: a single hospital observational case series on the application of European Society of Cardiology Guidelines. Europace. 2009;11:216–224.

    Article  PubMed  Google Scholar 

  19. Brignole M, Shen W. Syncope management from emergency department to hospital. J. Am. Coll. Cardiol. 2008;51:284–287.

    Article  PubMed  Google Scholar 

  20. Parry S, et al. Evidence-based algorithms and the management of falls and syncope presenting to acute medical services. Clin Med. 2008;8:157–162.

    PubMed  Google Scholar 

  21. Fitzpatrick AP, Cooper P. Diagnosis and management of patients with blackouts. Heart. 2006;92:559–568.

    Article  PubMed  Google Scholar 

  22. Brignole M, et al. Prospective multicentre systematic guideline-based management of patients referred to the syncope units of general hospitals. Europace. 2010;12:109–118.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Dipartimento di Cardiologia, Centro Aritmologico, Ospedali del Tigullio, Via Bobbio 24, 16033, Lavagna, Italy

    Dr. Michele Brignole

  2. Cardiac Arrhythmia Center, Medical School, University of Minnesota, 420 Delaware St. SE, 55455, Minneapolis, Minnesota, USA

    Dr. David G. Benditt

Authors
  1. Dr. Michele Brignole
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dr. David G. Benditt
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Michele Brignole .

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer-Verlag London Limited

About this chapter

Cite this chapter

Brignole, M., Benditt, D.G. (2011). Syncope Facilities: Background and Current Standards. In: Syncope. Springer, London. https://doi.org/10.1007/978-0-85729-201-8_9

Download citation

  • DOI: https://doi.org/10.1007/978-0-85729-201-8_9

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-0-85729-200-1

  • Online ISBN: 978-0-85729-201-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation