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Published Online First: 15 August 2008. doi:10.1136/hrt.2008.148361
Heart 2008;94:1528-1529
Copyright © 2008 BMJ Publishing Group Ltd & British Cardiovascular Society

EDITORIALS

Is it cardiac? Assessment of syncope with a scoring system

Roman Romero-Ortuno, Rose Anne Kenny

Department of Medical Gerontology, Trinity College Dublin, Dublin, Ireland

Dr R A Kenny, Department of Medical Gerontology, Trinity College Dublin, Dublin, Ireland; rkenny@tcd.ie

The first 150 words of the full text of this article appear below.

In this issue of Heart, Del Rosso et al report the results of a prospective validation study of a clinical assessment tool for adults attending the emergency department with a history of transient loss of consciousness (see page 1620).1 The scoring system, which "cannot be used as a substitute for clinical judgment of the experts" is geared towards identifying those patients who have a cardiac cause and is intended to serve as an aid for junior doctors providing front-line care in busy emergency departments. The proposed screening tool has a high sensitivity and relatively high specificity.


THE RELEVANCE OF SYNCOPE

Syncope has an enormous medical, social and economic impact on the general population. In the Framingham Heart Study, the incidence of a first report of syncope was 6.2 per 1000 person-years,2 and it is estimated that about 35% of people faint at least once in their life.3 Syncope evaluation accounts for . . . [Full text of this article]


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Clinical predictors of cardiac syncope at initial evaluation in patients referred urgently to a general hospital: the EGSYS score
A Del Rosso, A Ungar, R Maggi, F Giada, N R Petix, T De Santo, C Menozzi, and M Brignole
Heart 2008 94: 1620-1626. [Abstract] [Full Text] [PDF]

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