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Guidelines on management (diagnosis and treatment) of syncope

Publication |
2001

Abstract

The purpose of this document is to provide specificrecommendations on the diagnostic evaluation andmanagement of syncope. The document is divided intofour parts: (1) classification, epidemiology and prog-nosis; (2) diagnosis; (3) treatment; and (4) special issuesin evaluating patients with syncope.

Each part reviewsbackground information and summarizes the relevantliterature. The details of pathophysiology and mech-anisms of various aetiologies were considered to lieoutside the scope of this document.

Although the docu-ment encompasses many of the important aspects ofsyncope, the panel recommendations focused on thefollowing main questions:1. What are the diagnostic criteria for causes ofsyncope?2.

What is the preferred approach to the diag-nostic work-up in various subgroups of patients withsyncope?3. How should patients with syncope be risk stratified? 4.

When should patients with syncope be hospitalized?5. Which treatments are likely to be effective in prevent-ing syncopal recurrences?