A Rational Evaluation of the Syncope Patient: Optimizing the Emergency Department Visit

Author:

Hatoum Tarek,Sheldon Robert S.

Abstract

Syncope accounts for up to 2% of emergency department visits and results in the hospitalization of 12–86% of patients. There is often a low diagnostic yield, with up to 50% of hospitalized patients being discharged with no clear diagnosis. We will outline a structured approach to the syncope patient in the emergency department, highlighting the evidence supporting the role of clinical judgement and the initial electrocardiogram (ECG) in making the preliminary diagnosis and in safely identifying the patients at low risk of short- and long-term adverse events or admitting the patient if likely to benefit from urgent intervention. Clinical decision tools and additional testing may aid in further stratifying patients and may guide disposition. While hospital admission does not seem to offer additional mortality benefit, the efficient utilization of outpatient testing may provide similar diagnostic yield, preventing unnecessary hospitalizations.

Publisher

MDPI AG

Subject

General Medicine

Cited by 4 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Application of five risk stratification tools for syncope in older adults;Journal of International Medical Research;2024-01

2. Manejo diagnóstico del síncope en urgencias;Medicine - Programa de Formación Médica Continuada Acreditado;2023-10

3. Síncope;Actualización en Medicina de Familia;2023-10-01

4. Management strategies for vasovagal syncope;Pacing and Clinical Electrophysiology;2021-11-23

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