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- W2249132783 abstract "Objectives To analyse the acute management of syncope and the adherence to the guidelines of the ESC (2001).Methods Prospective observational study in 19 emergency departments (ED) in Dec, 2003.Results 1549 patients, 1428 (90%) with loss of consciousness. The performed tests (diagnostic yield) were: ECG in 92% (findings 34%), blood analysis 71% (diagnostic yield 3%), Chest X Ray 52% (1%), enzymes 30% (1%), ECG monitoring 17% (6%), echocardiogram 2% (18%), orthostatic determination of BP 5% (3%), carotid sinus massage 0.4% (17%); adherence to ESC: 5%. Clinical diagnosis (Diagnosis according ESC): vasovagal 47% (23%), orthostatic 8% (6%), arrhythmia 8% (5%), situational 6,5% (4,7%), cardiopulmonary 4% (1,8%), unknown 25% (58%); rho Spearman= 0,53 (p<0,001). Treatment in the ED 30%, admission in 26%.Conclusions there was an overuse of unspecific tests and an under use of specific tests addressed to the etiologic diagnosis of syncope. In addition, 10% of patients without loss of consciousness were included and too many patients were diagnosed of specific etiologies of syncope without fulfilling complete diagnosis criteria." @default.
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- W2249132783 date "2005-10-01" @default.
- W2249132783 modified "2023-10-18" @default.
- W2249132783 title "4. Syncope Evaluation & Syncope Unit" @default.
- W2249132783 hasPublicationYear "2005" @default.
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