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Syncope pp 127-138 | Cite as

Syncope Facilities: Background and Current Standards

  • Michele Brignole
  • David G. Benditt
Chapter

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

Keywords

Emergency Department Rapid Access Emergency Department Physician Continuous Blood Pressure Autonomic Function Testing 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Brignole M, et al. Guidelines on management (diagnosis and treatment) of syncope – Update 2004. Europace. 2004;6:467–537.PubMedCrossRefGoogle Scholar
  2. 2.
    Disertori M, et al. Management of syncope referred for emergency to general hospitals (EGSYS 1). Europace. 2003;5:283–291.PubMedCrossRefGoogle Scholar
  3. 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.PubMedGoogle Scholar
  4. 4.
    Ben-Chetrit E, et al. Syncope: a retrospective study of 101 hospitalized patients. Isr I Med Sci Med. 1985;21:950–953.Google Scholar
  5. 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.PubMedCrossRefGoogle Scholar
  6. 6.
    Day SC. Evaluation and outcome of emergency room patients with transient loss of consciousness. Am J Med. 1982;73:15–23.PubMedCrossRefGoogle Scholar
  7. 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.PubMedGoogle Scholar
  8. 8.
    Eagle KA, Black HR. The impact of diagnostic tests in evaluating patients with syncope. Yale J Biol Med. 1983;56:1–8.PubMedGoogle Scholar
  9. 9.
    Farwell D, Sulke N. How do we diagnose syncope? J Cardiovasc Electrophysiol. 2002;13: S9–S13.PubMedGoogle Scholar
  10. 10.
    Kapoor W. Evaluation and outcome of patients with syncope. Medicine. 1990;69:169–175.CrossRefGoogle Scholar
  11. 11.
    Oh JH, et al. Do symptoms predict cardiac arrhythmias and mortality in patients with syncope? Arch Intern Med. 1999;159:375–380.PubMedCrossRefGoogle Scholar
  12. 12.
    Martin GJ, et al. Prospective evaluation of syncope. Ann Emerg Med. 1984;13:499–504.PubMedCrossRefGoogle Scholar
  13. 13.
    Sarasin F, et al. Prospective evaluation of patients with syncope: a population-based study. Am J Med. 2001;111:177–184.PubMedCrossRefGoogle Scholar
  14. 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.PubMedCrossRefGoogle Scholar
  15. 15.
    Shen WK, et al. Syncope evaluation in the emergency departments (SEEDS): A multidisciplinary approach to syncope management. Circulation. 2004;110:3636–3645.PubMedCrossRefGoogle Scholar
  16. 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.PubMedCrossRefGoogle Scholar
  17. 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.PubMedCrossRefGoogle Scholar
  18. 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.PubMedCrossRefGoogle Scholar
  19. 19.
    Brignole M, Shen W. Syncope management from emergency department to hospital. J. Am. Coll. Cardiol. 2008;51:284–287.PubMedCrossRefGoogle Scholar
  20. 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.PubMedGoogle Scholar
  21. 21.
    Fitzpatrick AP, Cooper P. Diagnosis and management of patients with blackouts. Heart. 2006;92:559–568.PubMedCrossRefGoogle Scholar
  22. 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.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  1. 1.Dipartimento di Cardiologia, Centro AritmologicoOspedali del TigullioLavagnaItaly
  2. 2.Cardiac Arrhythmia CenterMedical School, University of MinnesotaMinneapolisUSA

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