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- W2044293412 abstract "Letters15 January 1998Diagnosing Syncope: ReplyMark Linzer, MD, N.A. Mark Estes III, MD, and Wishwa Kapoor, MDMark Linzer, MDUniversity of Wisconsin School of Medicine; Madison, WI 53792New England Medical Center; Boston, MA 02111University of Pittsburgh; Pittsburgh, PA 15261Search for more papers by this author, N.A. Mark Estes III, MDUniversity of Wisconsin School of Medicine; Madison, WI 53792New England Medical Center; Boston, MA 02111University of Pittsburgh; Pittsburgh, PA 15261Search for more papers by this author, and Wishwa Kapoor, MDUniversity of Wisconsin School of Medicine; Madison, WI 53792New England Medical Center; Boston, MA 02111University of Pittsburgh; Pittsburgh, PA 15261Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-128-2-199801150-00017 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Dr. Jarrard suggests that loop monitoring should replace 24-hour Holter monitoring in patients with syncope. The problem with this point of view is that a patient needs to be symptomatic while wearing a loop monitor for the test to provide any useful information. Because 85% of patients with a first episode of syncope will not faint again within the next 6 months [1], loop monitoring would be of no benefit in these patients. However, Holter monitoring can document background rhythm disturbances (such as sinus pauses or nonsustained bouts of ventricular tachycardia) that, although nondiagnostic, might prompt further evaluation ...References1. Kapoor W, Peterson J, Wieand HS, Karpf M. Diagnostic and prognostic implications of recurrences in patients with syncope. Am J Med. 1987; 83:700-8. Google Scholar2. Kapoor WN. Evaluation of outcome of patients with syncope. Medicine (Baltimore). 1990; 69:160-75. Google Scholar3. Brody SA. What's wrong with this picture? Ann Intern Med. 1997; 126:997-8. Google Scholar Author, Article, and Disclosure InformationAuthors: Mark Linzer, MD; N.A. Mark Estes III, MD; Wishwa Kapoor, MDAffiliations: University of Wisconsin School of Medicine; Madison, WI 53792New England Medical Center; Boston, MA 02111University of Pittsburgh; Pittsburgh, PA 15261 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 15 January 1998Volume 128, Issue 2Page: 155-156KeywordsColorectal cancerComplete blood countIschemiaLaboratory testsPacemakersResearch laboratoriesStent implantationSyncopeVentricular tachycardiaVital signs ePublished: 15 August 2000 Issue Published: 15 January 1998 Copyright & PermissionsCopyright © 1998 by American College of Physicians. All Rights Reserved.PDF downloadLoading ..." @default.
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- W2044293412 title "Diagnosing Syncope: Reply" @default.
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