Epidemiological characteristics and diagnostic approach in patients admitted to the emergency room for transient loss of consciousness: Group for Syncope Study in the Emergency Room (GESINUR) study

Abstract

Adherence to clinical guidelines for syncope management was low; many diagnostic tests were performed with low diagnostic yield. Important differences were observed between syncope diagnoses at the ED and by SC decision.

Differences in the yield of the implantable loop recorder between secondary and tertiary centers

“…The explanation for this could lie in a higher familiarity among TC physicians with this test, or a higher adherence to clinical guidelines. However, the rate of patients with CSM in both groups was higher to the one reported in previous studies (36% in the PICTURE Registry [11]) or in studies about syncope conducted in Emergency Units in Spain (0.4% in the GESINUR Study [13]). …”

Implantable Loop Recorder Allows an Etiologic Diagnosis in One-Third of Patients

“…11 Despite the recommendation for HUT in patients with unexplained syncope and NH, only 36% of the present patients in the NH subgroup underwent this test before ILR implantation.…”

2017 ISHNE-HRS expert consensus statement on ambulatory ECG and external cardiac monitoring/telemetry

“…The role of the AECG is to identify Symptom/rhythm correlation remains the cornerstone of the diagnostic efforts in syncope to confirm the involvement of the cardiac electrical system in the origin of syncope (Morillo & Baranchuk, 2004 (2015) nature (Baron-Esquivias et al, 2010). (Morillo & Baranchuk, 2004).…”