The Emergency Department Approach to Syncope: Evidence-based Guidelines and Prediction Rules

Chad Kessler, Jenny M. Tristano, Robert De Lorenzo

Research output: Contribution to journalReview articlepeer-review

23 Scopus citations

Abstract

Syncope is a sudden, transient loss of consciousness associated with inability to maintain postural tone followed by spontaneous recovery and return to baseline neurologic status. Global cerebral hypoperfusion is the final pathway common to all presentations of syncope, but this symptom presentation has a broad differential diagnosis. It is important to identify patients whose syncope is a symptom of a potentially life-threatening condition. This article reviews the current status of syncope from the emergency department perspective, focusing on the current evidence behind the various clinical decision rules derived during the past decade.

Original languageEnglish (US)
Pages (from-to)487-500
Number of pages14
JournalEmergency Medicine Clinics of North America
Volume28
Issue number3
DOIs
StatePublished - Aug 2010
Externally publishedYes

Keywords

  • Emergency department
  • Guidelines
  • San Francisco Syncope Rule
  • Syncope

ASJC Scopus subject areas

  • Emergency Medicine

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