Guidelines for the Diagnosis and Management of Syncope (2009)

Moya, Angel; Sutton, Richard; Ammirati, Fabrizio; Blanc, Jean‐Jacques; Brignole, Michele; Dahm, Johannes; Deharo, Jean‐Claude; Gajek, Jacek; Gjesdal, Knut; Krahn, Andrew D.; Massin, Martial; Pepi, Mauro; Pezawas, Thomas; Granell, R. Ruiz; Sarasin, François; Ungar, Andrea; Dijk, J. Gert van; Walma, Edmond; Wieling, Wouter; Evseev, M. O.

doi:10.20996/1819-6446-2010-6-2-229-259

Cited by 189 publications

(439 citation statements)

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“…Moreover, until a definitive diagnosis is made, it is impossible to identify the pathophysiologic mechanism underlying an undetermined syncope, which accounts for up to 40% of all events. 1,2 In keeping with a recent consensus study by Sun and colleagues, 3 we suggest a practical approach that defines as syncope all T-LoC of presumptive syncopal origin.…”

Section: Distinguish Patients With Syncope From Those With a T-loc Ofsupporting

confidence: 59%

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Syncope Risk Stratification in the Emergency Department

Costantino

Furlan

2013

Cardiology Clinics

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An 89-year-old What steps should be taken to deal with a patient presenting at the ED because of a transient loss of consciousness? THE FIRST STEP: IDENTIFYING PATIENTS WITH SYNCOPETo identify the patient with syncope, 3 major issues have to be addressed:Distinguish patients with syncope from those with a transient loss of consciousness (T-LoC) of nonsyncopal origin Differentiate patients with syncope from those having falls Determine how to manage patients presenting with near syncopeThe authors have nothing to disclose.

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Section: Distinguish Patients With Syncope From Those With a T-loc Ofsupporting

confidence: 59%

“…1 Therefore, syncope must be differentiated from those situations in which T-LoC is not induced by a global cerebral hypoperfusion, as it is in the case of epilepsy, hypoglycemia, stroke, and carbon monoxide intoxication.…”

Section: Distinguish Patients With Syncope From Those With a T-loc Ofmentioning

confidence: 99%

Syncope Risk Stratification in the Emergency Department

Costantino

Furlan

2013

Cardiology Clinics

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“…There was no need for medical treatment during vasovagal episodes and no post-procedural sequelae occurred. Vasovagal reactions, which can result from overstimulation of the nerve, may be easily avoided [31,32]. According to our data, vasovagal reactions can be expected in approximately 0.16% of patients, one in 638 examinations.…”

Section: Discussionmentioning

confidence: 54%

Adverse events of computed tomography colonography: An Italian National Survey

Iafrate¹,

Iussich²,

Correale³

et al. 2013

Digestive and Liver Disease

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a b s t r a c tAim: To retrospectively study the frequency and magnitude of complications associated with computed tomography (CT) colonography in clinical practice. Methods: A questionnaire on complications of CT colonography was sent to Italian public radiology departments identified as practicing CT colonography with a reasonable level of training. The frequency of complications and possible risk factors were retrospectively determined. Responses were collated and row frequencies determined. A multivariate analysis of the factors causing adverse events was also performed. Results: 40,121 examinations were performed in13 centers during the study period. No deaths were reported. Bowel perforations occurred in 0.02% (7 exams). All perforations were asymptomatic and occurred in patients undergoing manual insufflation. Five perforations (71%) occurred in procedures performed following a recent colonoscopy. There was no significant difference between perforations associated with rectal balloon (0.017%) and those that were not (0.02%). Complications related to vasovagal reaction (either with or without spasmolytic) occurred in 0.16% (63 exams). All vasovagal reactions resolved in less than 3 h, without any sequelae. Conclusions: Perforation rate at CT colonography in Italy is comparable with elsewhere in the world, occurring regardless of the experience of radiology centers. Although the risk is very small, it may not be negligible when compared with the risk of diagnostic colonoscopy.

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“…Inclusion criteria included certain or likely diagnosis of VVS as defined by the European Society of Cardiology and the Heart Rhythm Society [29,34] and the completion of a tilt table test. Exclusion criteria included the presence of cardiac abnormalities suggestive of cardiac syncope or findings on examination consistent with orthostatic hypotension as the underlying mechanism of syncope.…”

Section: Subjectsmentioning

confidence: 99%

“…Vasovagal syncope (VVS) is the most common type of syncope encountered in clinical practice [29]. While the underlying mechanisms remain poorly defined, the baroreflex has long been implicated in its pathogenesis with tilt table testing (TTT) remaining the diagnostic test of choice in patients with suspected VVS [22].…”

Section: Introductionmentioning

confidence: 99%

The pathophysiologic mechanisms associated with hypotensive susceptibility

et al. 2016

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Introduction Patients with vasovagal syncope (VVS) and positive tilt table test (TTT) were not found to benefit from pacing in the ISSUE-3 trial despite the presence of spontaneous asystole during monitoring. "Hypotensive susceptibility" unmasked by TTT was reported as a possible explanation. The purpose of this study was to assess the pathophysiologic mechanisms associated with hypotensive susceptibility.

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Guidelines for the Diagnosis and Management of Syncope (2009)

Cited by 189 publications

References 0 publications

Syncope Risk Stratification in the Emergency Department

Syncope Risk Stratification in the Emergency Department

Adverse events of computed tomography colonography: An Italian National Survey

The pathophysiologic mechanisms associated with hypotensive susceptibility

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