Prospective evaluation and outcome of patients admitted for syncope over a 1 year period
Aims Syncope is a frequent and potentially dangerous symptom. The epidemiological data are based on series mainly collected 20 years ago in the U.S.A. and do not adequately assist in the management of patients admitted now for this symptom in Europe. Methods and Results To evaluate prospectively the...
Saved in:
Published in | European heart journal Vol. 23; no. 10; pp. 815 - 820 |
---|---|
Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
Oxford
Oxford University Press
01.05.2002
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Summary: | Aims Syncope is a frequent and potentially dangerous symptom. The epidemiological data are based on series mainly collected 20 years ago in the U.S.A. and do not adequately assist in the management of patients admitted now for this symptom in Europe. Methods and Results To evaluate prospectively the epidemiological aspects and the management of the patients admitted in the emergency department of an adult university hospital for a ‘verified’ syncope, charts of all the patients consecutively admitted between June 1999 and June 2000 were systematically reviewed by a member of the cardiology staff. Those with a loss of consciousness were selected and those with a definite syncope were included in the study group and followed until they were discharged from the hospital. Among the 37475 patients who presented to the emergency department, 454 (1·21%) had a definite syncope. For 296 it was the first episode and 169 (mean age 43±23 years) were discharged straight away; 285 (mean age 66±19 years;P <0·0001) were admitted to internal medicine (n=151), cardiology (n=65), neurology (n=44), endocrinology (n=14) and surgery (n=11) services. In 75·7% of all the patients a diagnosis was reported but it was inadequate to explain a syncopal episode in 56 cases (16·3%). Management differed by department: 36% of the patients had ‘neurological’ investigations mainly in internal medicine and neurology. Except in cardiology very few had ‘cardiological’ investigations particularly tilt test and electrophysiological studies (5%). Conclusion Syncope is a frequent symptom but its cause often remains unknown partly due to inadequate management. Precise and simple guidelines are urgently needed. |
---|---|
Bibliography: | ark:/67375/HXZ-6JZRCF1V-5 local:0.1929756.815 istex:4CFDAB0AD44E393AC91648FCF668C9C98CDE174D ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 0195-668X 1522-9645 |
DOI: | 10.1053/euhj.2001.2975 |