[Differential diagnostics of unclear syncope].

Abstract

The clarification of syncope is a diagnostic challenge as possible causes often occur only intermittently. Therefore, a detailed and standardized anamnesis is essential as it 1) differentiates syncope from other transient losses of consciousness (TLOC) and 2) directly clarifies possible causes of syncope. The risk stratification plays a central and very important role in order to avoid unnecessary examinations in patients with benign syncope and to provide patients with life-threatening, mostly cardiac syncopal episodes with timely diagnostics and treatment. In cases where the cause of syncope is still unclear, a standardized approach is indicated using extended diagnostics, such as a tilt table examination, a carotid sinus pressure test, prolonged telemetric monitoring or clarification with an implantable loop recorder (ILR).

• Authors: T Seewöster, F Lindemann, G Hindricks
• Journal: Herz (Herz) Vol. 44 Issue 8 Pg. 759-768 (Dec 2019) ISSN: 1615-6692 [Electronic] Germany
• Vernacular Title: Differenzialdiagnostik unklarer Synkopen.
• PMID: 31620824 (Publication Type: Journal Article)

Topics

• Diagnosis, Differential
• Electrocardiography, Ambulatory
• Humans
• Syncope (diagnosis)
• Tilt-Table Test