History taking as a diagnostic test in patients with syncope: developing expertise in syncope

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History taking as a diagnostic test in patients with syncope: developing expertise in syncope.

Department of Internal Medicine, Medical Centre, University of Amsterdam, Amsterdam, The Netherlands; Department of Family Medicine, Medical Centre, University of Amsterdam, Amsterdam, The Netherlands; Department of Cardiology, Academic, Medical Centre, University of Amsterdam, Amsterdam, The Netherlands; SEIN – Stichting Epilepsie Instellingen Nederland, Heemstede, The Netherlands; Department ...

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Etiology of syncope in hospitalized patients

 Background: Syncope is a common clinical problem which can be remarkably debilitating and associated with high health care costs. Syncope is a clinical syndrome with many potential causes. The aim of the study was to determine the etiologies of patients with syncope in the emergency department (ED) of a referral and general university hospital.  Methods: One hundred sixty-five consecutive ...

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Mechanism of syncope in patients with isolated syncope and in patients with tilt-positive syncope.

BACKGROUND Because of its episodic behavior, the correlation of spontaneous syncope with an abnormal finding can be considered a reference standard. METHODS AND RESULTS We inserted an implantable loop recorder in 111 patients with syncope, absence of significant structural heart disease, and a normal ECG; tilt-testing was negative in 82 (isolated syncope) and positive in 29 (tilt-positive). T...

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Diagnostic value of the head-up tilt test and the R-test in patients with syncope

The diagnostic value of the head-up tilt test (HUTT) in discovering vasovagal syndrome depends on the pre-test probability. An accurate anamnesis and clinical examination screens the patients indicated for the HUTT. In patients with unexplained syncope, the R-test is an alternative procedure to discover its cause. In our study, we evaluated the diagnostic significance of the HUTT in a group of ...

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Diagnosing vasovagal syncope based on quantitative history-taking: validation of the Calgary Syncope Symptom Score.

AIMS It can be difficult to distinguish vasovagal syncope, the most common cause of transient loss of consciousness (T-LOC), from other causes of syncope by history taking. The Calgary Syncope Symptom Score (Calgary Score) is a tool developed for this purpose. We studied its performance in a series of patients presenting with T-LOC. METHODS AND RESULTS We calculated the Calgary Score for 380 ...

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ژورنال

عنوان ژورنال: European Heart Journal

سال: 2014

ISSN: 0195-668X,1522-9645

DOI: 10.1093/eurheartj/ehu478