Managing patients affected by syncope in ER: differential diagnosis and risk stratification


Submitted: 17 February 2013
Accepted: 17 February 2013
Published: 20 February 2009
Abstract Views: 781
PDF: 9715
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Authors

  • Elena Vitale Dipartimento di Emergenza, ASO Santi Antonio e Biagio e Cesare Arrigo, Alessandria, .
  • Roberto Maggi Centro Aritmologico, Dipartimento di Cardiologia, Ospedali del Tigullio, Lavagna, .
  • Giuseppe Demarchi SC di Cardiologia, ASO Santi Antonio e Biagio e Cesare Arrigo, Alessandria, .
  • Ivo Casagranda Dipartimento di Emergenza, ASO Santi Antonio e Biagio e Cesare Arrigo, Alessandria, .
  • Michele Brignole Centro Aritmologico, Dipartimento di Cardiologia, Ospedali del Tigullio, Lavagna, .
Syncope is a common presentation to the emergency department that account to about 1% . The efforts of the emergency physician in evaluating the patient with syncope should be directed to determine a specific diagnosis of syncope type and to make the risk stratification. The first objective can be achieved utilizing with strict adherence the guidelines on management of syncope of the European Society of Cardiology. To achieve the second objective it is necessary to evaluate the risk factors for short- and long-term outcomes. Furthermore, in case of unexplained syncope, it is necessary to determine the probability of cardiac cause. On this subject, the EGSYS score seems to be a reliable tool.

Elena Vitale, Dipartimento di Emergenza, ASO Santi Antonio e Biagio e Cesare Arrigo, Alessandria
Roberto Maggi, Centro Aritmologico, Dipartimento di Cardiologia, Ospedali del Tigullio, Lavagna
Giuseppe Demarchi, SC di Cardiologia, ASO Santi Antonio e Biagio e Cesare Arrigo, Alessandria
Ivo Casagranda, Dipartimento di Emergenza, ASO Santi Antonio e Biagio e Cesare Arrigo, Alessandria
Michele Brignole, Centro Aritmologico, Dipartimento di Cardiologia, Ospedali del Tigullio, Lavagna
Vitale, E., Maggi, R., Demarchi, G., Casagranda, I., & Brignole, M. (2009). Managing patients affected by syncope in ER: differential diagnosis and risk stratification. Emergency Care Journal, 5(1), 8–16. https://doi.org/10.4081/ecj.2009.1.8

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