Skip to main content
SpringerLink
Log in

Syncope, Work Up and Management

  • Chapter
  • First Online:
Manual of Outpatient Cardiology

  • 911 Accesses

Abstract

Syncope, like headaches and chest pain, has the frustrating property of being an extremely common symptom for which the significance runs the gamut from benign nuisance to ominous harbinger. When evaluating syncope the care provider therefore should not dismiss it lightly, and at the same time avoid excessive utilization of health care resources in the work up of these patients.

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 64.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 84.99
Price excludes VAT (USA)
  • Compact, lightweight 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. Huff JS, Decker WW, Quinn JV, et al. Clinical policy: critical issues in the evaluation and management of adult patients presenting to the emergency department with syncope. Ann Emerg Med. 2007;49(4):431–44. http://www.ncbi.nlm.nih.gov/pubmed/17371707 Accessed March, 2011.

    Article  PubMed  Google Scholar 

  2. Engel GL. Psychologic stress, vasodepressor (vasovagal) syncope, and sudden death. Ann Intern Med. 1978;89(3):403–12. Available at: http://www.ncbi.nlm.nih.gov/pubmed/99068. Accessed 13 Jan, 2011.

    PubMed  CAS  Google Scholar 

  3. The Task Force for the Diagnosis and Management of Syncope of the European Society of Cardiology (ESC), Moya A, Sutton R, Ammirati F, et al. Guidelines for the diagnosis and management of syncope (version 2009). Eur Heart J. 2009;30(21):2631–71. Available at: http://www.ncbi.nlm.nih.gov/pubmed/19713422. Accessed March, 2011

    Article  PubMed  Google Scholar 

  4. Alboni P, Brignole M, Menozzi C, et al. Diagnostic value of history in patients with syncope with or without heart disease. J Am Coll Cardiol. 2001;37(7):1921–8. Available at: http://www.ncbi.nlm.nih.gov/pubmed/11401133. Accessed March, 2011

    Article  PubMed  CAS  Google Scholar 

  5. Sheldon R, Rose S, Ritchie D, et al. Historical criteria that distinguish syncope from seizures. J Am Coll Cardiol. 2002;40(1):142–8. Available at: http://www.ncbi.nlm.nih.gov/pubmed/12103268. Accessed March, 2011

    Article  PubMed  Google Scholar 

  6. Sample S. The new England Journal of Medicine Incidence and prognosis of syncope. English Journal. 2002;347(12):878–85.

    Google Scholar 

  7. Linzer M, Yang EH, Iii NAME, Wang P. Clinical guideline diagnosing syncope part 1: value of history, physical examination, and electrocardiography. Ann Inter Med. 1997;126(15):989–96.

    CAS  Google Scholar 

  8. van Dijk N, Quartieri F, Blanc J-J, et al. Effectiveness of physical counterpressure maneuvers in preventing vasovagal syncope: the Physical Counterpressure Manoeuvres Trial (PC-Trial). J Am Coll Cardiol. 2006;48(8):1652–7. Available at: http://www.ncbi.nlm.nih.gov/pubmed/17045903. Accessed 29 Mar, 2011.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiology, Maimonides Medical Center, Brooklyn, NY, USA

    Menachem Wakslak

  2. Department of Cardiology, University of Rochester Medical Center, Rochester, NY, USA

    David T. Huang

Authors
  1. Menachem Wakslak
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. David T. Huang
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Menachem Wakslak .

Editor information

Editors and Affiliations

  1. , Department of Internal Medicine, University of Rochester Medical Center, Elmwood Ave. 601, Rochester, 14642, New York, USA

    John D. Bisognano

  2. , Department of Internal Medicine, University of Rochester Medical Center, Rochester, 14642, New York, USA

    Ron Beck

  3. , Department of Internal Medicine, University of Rochester Medical Center, Rochester, 14642, New York, USA

    Ryan Connell

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer-Verlag London Limited

About this chapter

Cite this chapter

Wakslak, M., Huang, D.T. (2012). Syncope, Work Up and Management. In: Bisognano, J., Beck, R., Connell, R. (eds) Manual of Outpatient Cardiology. Springer, London. https://doi.org/10.1007/978-0-85729-944-4_14

Download citation

  • DOI: https://doi.org/10.1007/978-0-85729-944-4_14

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-0-85729-943-7

  • Online ISBN: 978-0-85729-944-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation