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What is the Value of Clinical History in Establishing the Cause of Syncope?

  • P. Alboni
  • M. Dinelli
  • K. Bettiol
  • M. Donateo
Conference paper

Abstract

It is commonly accepted that the clinical history is important in the diagnosis of the cause of syncope. For example, pallor, nausea, and diaphoresis are believed to be specific for vasovagal syncope. However, the value of clinical history in the diagnosis of the type of syncope has been little investigated. Wayne et al. [1] analyzed the clinical features of 510 patients with a wide variety of causes of syncope. Particular emphasis was placed on the nature of the prodromal and recovery symptoms, the position prior to syncope and the duration of prodromal and recovery symptoms. Although this study represented the first attempt to critically examine the clinical history in patients with syncope, it was not possible to draw conclusions, because there were several important limitations. In fact, the histories were retrospectively obtained from medical records and precise details were often unavailable. Moreover, many of the diagnoses were established on a presumptive basis due to the absence of clear diagnostic criteria.

Keywords

Ventricular Tachycardia Clinical History Emotional Stimulus Atrioventricular Block Severe Fatigue 
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.

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References

  1. 1.
    Wayne HH (1961) Syncope. Physiological considerations and an analysis of the clinical characteristics in 510 patients. Am J Med 30:418–438PubMedCrossRefGoogle Scholar
  2. 2.
    Martin GJ, Adams SL, Martin HG et al (1984) Prospective evaluation of syncope. Ann Emerg Med 13:499–504PubMedCrossRefGoogle Scholar
  3. 3.
    Calkins H, Shyr Y, Frumin H, Schork A, Morady F (1995) The value of clinical history in the differentiation of syncope due to ventricular tachycardia, atrioventricular block and neurocardiogenic syncope. Am J Med 98:365–373PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2000

Authors and Affiliations

  • P. Alboni
    • 1
  • M. Dinelli
    • 1
  • K. Bettiol
    • 1
  • M. Donateo
    • 1
  1. 1.Divisione di CardiologiaOspedale CivileCento (FE)Italy

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