Issues in Evaluating Patients with Syncope
Authors: WISHWA KAPOOR
Journal: Annals of Internal Medicine (1984)

Editorials1 May 1984Issues in Evaluating Patients with SyncopeWISHWA KAPOOR, M.D., MICHAEL KARPF, M.D., GERALD S. LEVEY, M.D.WISHWA KAPOOR, M.D.Search for more papers by this author, MICHAEL KARPF, M.D.Search for more papers by this author, GERALD S. LEVEY, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-100-5-755 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptRecent studies have focused on the diagnosis of syncope and the prognosis for patients with this symptom (1-4). The usefulness of many diagnostic tests has been questioned, and subgroups of patients at high risk for sudden death are reported. These studies suggest that strategies for managing patients with syncope are required that stress cost-effective approaches but also recognize patients with a poor prognosis in order to ensure quality of care. A framework for such strategies is now being developed, although some areas of controversy remain.Establishing a cause of syncope is frequently difficult. Studies using specific criteria for diagnosing causes...References1. KAPOORKARPFMAHERMILLERLEVEY WMYRG. Syncope of unknown origin: the need for a more cost-effective approach to its diagnostic evaluation. JAMA. 1982;247:2687-91. CrossrefMedlineGoogle Scholar2. KAPOORKARPFWIEANDPETERSONLEVEY WMSJG. A prospective evaluation and follow-up of patients with syncope. N Engl J Med. 1983;309:197-204. CrossrefMedlineGoogle Scholar3. SILVERSTEINSINGERMULLEYTHIBAULTBARNETT MDAGG. Patients with syncope admitted to medical intensive care units. JAMA. 1982;248:1185-9. CrossrefMedlineGoogle Scholar4. DAYCOOKFUNKENSTEINGOLDMAN SEHL. Evaluation and outcome of emergency room patients with transient loss of consciousness. Am J Med. 1982;73:15-23. CrossrefMedlineGoogle Scholar5. LIPSITZNYQUISTWEIROWE LPGJ. 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The role and limitations of electrophysiologic testing in patients with unexplained syncope. Int J Cardiol. 1983;229-34. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Department of Medicine University of Pittsburgh Pittsburgh, Pennsylvania PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byThe clinical and demographic features of dizziness related to general health among the Saudi populationWegrakingen: syncope of iets andersHard to SwallowClinical and Electrophysiologic Features of Syncope in Chronic Chagasic Heart DiseaseThe Spectrum of SyncopeThe economic burden of unrecognized vasodepressor syncopePertes de connaissance brèves dans un service de Médecine Interne. 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COPLAN, M.D. 1 May 1984Volume 100, Issue 5Page: 755-757KeywordsHealth care qualityRisk managementSyncope Issue Published: 1 May 1984 PDF downloadLoading ...