TY - JOUR
T1 - Evaluation of the patient with syncope
AU - Naccarelli, Gerald
PY - 1984
Y1 - 1984
N2 - In the syncopal patient, it is important to determine if the cause is cardiac or noncardiac. A goal-directed diagnostic approach should be employed, depending on the results of the initial history and physical examination. Invasive tests should be performed only following a reasonable screening with noninvasive tests. In suspected cardiac syncope, an electrophysiologic study can be informative and should be performed if the arrhythmia cannot be documented electrocardiographically during the patient's symptoms. Appropriate therapy should be initiated once a confirmatory diagnosis has been made. Empirical treatment with antiepileptics, antiarrhythmics or pacemakers should be refrained from if at all possible. Spontaneous remission of symptoms can frequently occur, although the mechanism for this has not been determined.
AB - In the syncopal patient, it is important to determine if the cause is cardiac or noncardiac. A goal-directed diagnostic approach should be employed, depending on the results of the initial history and physical examination. Invasive tests should be performed only following a reasonable screening with noninvasive tests. In suspected cardiac syncope, an electrophysiologic study can be informative and should be performed if the arrhythmia cannot be documented electrocardiographically during the patient's symptoms. Appropriate therapy should be initiated once a confirmatory diagnosis has been made. Empirical treatment with antiepileptics, antiarrhythmics or pacemakers should be refrained from if at all possible. Spontaneous remission of symptoms can frequently occur, although the mechanism for this has not been determined.
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U2 - 10.1016/S0025-7125(16)31092-6
DO - 10.1016/S0025-7125(16)31092-6
M3 - Article
C2 - 6492934
AN - SCOPUS:0021685719
SN - 0025-7125
VL - 68
SP - 1211
EP - 1230
JO - Medical Clinics of North America
JF - Medical Clinics of North America
IS - 5
ER -