Syncope is a prevalent disorder, accounting for 3–5% of emergency department (ED) visits and 1–3% of hospital admissions. A cardiac cause of syncope is an independent predictor of sudden death, and mortality rates are higher in patients with cardiac syncope compared with those of non-cardiac or unknown origin. In addition, significant morbidity may result from falls or accidents resulting from ...

Er is een brede differentiaaldiagnose voor wegrakingen, zoals vasovagale syncope, cardiale epilepsie en psychogene wegrakingen. Deze bijdrage gaat over patiënt die werd verwezen met de vraagstelling epilepsie, bij wie er verrassend genoeg sprake bleek van zeldzame epilepsie-mimic: “stretch syncope”. We nemen u mee naar casus deze theorieën onderliggende pathofysiologische mechanismen.

OBJECTIVES This study was done to evaluate pacemaker therapy for severe recurrent vasovagal syncope. BACKGROUND Nonrandomized studies have suggested that permanent pacing might help control the symptoms of recurrent vasovagal syncope. The study goal was to evaluate the effect of permanent pacemaker implantation on syncope in patients with frequently recurrent vasovagal syncope. METHODS Pati...

The aim of this European Heart Rhythm Association (EHRA) survey was to provide an insight into the current practice of work-up and management of patients with syncope among members of the EHRA electrophysiology research network. Responses were received from 43 centres. The majority of respondents (74%) had no specific syncope unit and only 42% used a standardized assessment protocol or algorith...

OBJECTIVE We tested the hypothesis that management of patients with syncope admitted urgently to a general hospital may be influenced by the presence of an in-hospital structured syncope unit. BACKGROUND The management of syncope is not standardized. Methods We compared six hospitals equipped with a syncope unit organized inside the department of cardiology with six matched hospitals without ...

OBJECTIVES The propensity for spontaneous and tilt-induced neurocardiogenic syncope may exhibit temporal variations. Therefore the diagnostic performance of the head-up tilt test could be improved if it were performed soon after the occurrence of spontaneous syncope. The objective of this study was to assess whether the time interval between the last syncopal episode and tilt table testing infl...

AIMS We evaluated the early (1 month) and late (2 years) death rate and syncopal relapses of patients referred for syncope to 11 general hospitals emergency departments. Patients were enrolled in the Evaluation of Guidelines in SYncope Study 2 (EGSYS 2) study. The guidelines of the European Society of Cardiology were strictly followed in the management of patients. METHODS AND RESULTS Out of ...

STUDY DESIGN Multi-centre, prospective observational study. OBJECTIVES Main objective is to verify the value of implantable loop recorder (ILR) in assessing the mechanism of syncope and the efficacy of the ILR-guided therapy after syncope recurrence. INCLUSION CRITERIA Patients who met the following criteria are included: suspected or definite neurally mediated syncope based on initial eval...

Syncope is a very common presentation in the emergency department, and the combination of a wide differential diagnosis, a range of prognoses, and infrequent documentation of the faint leads to a high proportion of patients being admitted. These problems are mirrored in the investigation of inpatients with syncope, for which the high proportion of patients with benign outcomes and the profound ...