TY - JOUR
T1 - Syncope
T2 - Causes, clinical evaluation, and current therapy
AU - Benditt, David G
AU - Remole, Stephen
AU - Milstein, Simon
AU - Bailin, Steven
PY - 1992
Y1 - 1992
N2 - Syncope is a common clinical problem comprising the sudden loss of both consciousness and postural tone, with a subsequent spontaneous and relatively prompt recovery. Often it is difficult to differentiate a true syncopal spell from other conditions, such as seizure disorders, or from some simple accidents. Even more difficult is the identification of the cause of syncopal episodes. Nonetheless, establishing a definitive diagnosis is an important task given the high risk of recurrent symptoms. Careful use of noninvasive and invasive cardiovascular studies (including electrophysiologic testing and tilt-table testing) along with selected hematologic, biochemical, and neurologic studies provides, in the majority of cases, the most effective strategy for obtaining a specific diagnosis and for directing therapy.
AB - Syncope is a common clinical problem comprising the sudden loss of both consciousness and postural tone, with a subsequent spontaneous and relatively prompt recovery. Often it is difficult to differentiate a true syncopal spell from other conditions, such as seizure disorders, or from some simple accidents. Even more difficult is the identification of the cause of syncopal episodes. Nonetheless, establishing a definitive diagnosis is an important task given the high risk of recurrent symptoms. Careful use of noninvasive and invasive cardiovascular studies (including electrophysiologic testing and tilt-table testing) along with selected hematologic, biochemical, and neurologic studies provides, in the majority of cases, the most effective strategy for obtaining a specific diagnosis and for directing therapy.
KW - Electrophysiologic studies
KW - Fainting
KW - Tilt-table testing
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U2 - 10.1146/annurev.me.43.020192.001435
DO - 10.1146/annurev.me.43.020192.001435
M3 - Review article
C2 - 1580590
AN - SCOPUS:0026628814
SN - 0066-4219
VL - 43
SP - 283
EP - 300
JO - Annual review of medicine
JF - Annual review of medicine
IS - 1
ER -