Syncope echocardiography: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Syncope}} | {{Syncope}} | ||
{{CMG}} | {{CMG}} {{AE}} {{Sahar}} | ||
==Overview== | ==Overview== | ||
[[Transthoracic echocardiography]] can be useful in the [[diagnostic]] workup of [[patients]] presenting with syncope. This evaluation is especially warranted in [[patients]] who are suspected to have underlying [[cardiovascular]] disorders. | |||
==Echocardiography== | |||
*[[Transthoracic echocardiography]] can be useful in the [[diagnostic]] workup of [[patients]] presenting with syncope. This evaluation is especially warranted in [[patients]] who are suspected to have underlying [[cardiovascular]] disorders.<ref name="ShenSheldon2017">{{cite journal|last1=Shen|first1=Win-Kuang|last2=Sheldon|first2=Robert S.|last3=Benditt|first3=David G.|last4=Cohen|first4=Mitchell I.|last5=Forman|first5=Daniel E.|last6=Goldberger|first6=Zachary D.|last7=Grubb|first7=Blair P.|last8=Hamdan|first8=Mohamed H.|last9=Krahn|first9=Andrew D.|last10=Link|first10=Mark S.|last11=Olshansky|first11=Brian|last12=Raj|first12=Satish R.|last13=Sandhu|first13=Roopinder Kaur|last14=Sorajja|first14=Dan|last15=Sun|first15=Benjamin C.|last16=Yancy|first16=Clyde W.|title=2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society|journal=Circulation|volume=136|issue=5|year=2017|issn=0009-7322|doi=10.1161/CIR.0000000000000499}}</ref> | |||
==2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope<ref name="ShenSheldon2017">{{cite journal|last1=Shen|first1=Win-Kuang|last2=Sheldon|first2=Robert S.|last3=Benditt|first3=David G.|last4=Cohen|first4=Mitchell I.|last5=Forman|first5=Daniel E.|last6=Goldberger|first6=Zachary D.|last7=Grubb|first7=Blair P.|last8=Hamdan|first8=Mohamed H.|last9=Krahn|first9=Andrew D.|last10=Link|first10=Mark S.|last11=Olshansky|first11=Brian|last12=Raj|first12=Satish R.|last13=Sandhu|first13=Roopinder Kaur|last14=Sorajja|first14=Dan|last15=Sun|first15=Benjamin C.|last16=Yancy|first16=Clyde W.|title=2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society|journal=Circulation|volume=136|issue=5|year=2017|issn=0009-7322|doi=10.1161/CIR.0000000000000499}}</ref>== | |||
===Cardiac Imaging=== | |||
{|class="wikitable" | |||
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| colspan="1" style="text-align:center; background:LemonChiffon"|[[AHA guidelines classification scheme#Classification of Recommendations|Class IIa]] | |||
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|bgcolor="LemonChiffon"|"[[Transthoracic echocardiography]] can be useful in selected patients presenting with syncope if [[structural heart disease]] is suspected. (Level of Evidence:B)"<ref name="Sarasin2002">{{cite journal|last1=Sarasin|first1=F P|title=Role of echocardiography in the evaluation of syncope: a prospective study|journal=Heart|volume=88|issue=4|year=2002|pages=363–367|issn=00070769|doi=10.1136/heart.88.4.363}}</ref><ref name="RecchiaBarzilai1995">{{cite journal|last1=Recchia|first1=Dino|last2=Barzilai|first2=Benico|title=Echocardiography in the evaluation of patients with syncope|journal=Journal of General Internal Medicine|volume=10|issue=12|year=1995|pages=649–655|issn=0884-8734|doi=10.1007/BF02602755}}</ref><ref name="ChiuShapiro2014">{{cite journal|last1=Chiu|first1=David T.|last2=Shapiro|first2=Nathan I.|last3=Sun|first3=Benjamin C.|last4=Mottley|first4=J. Lawrence|last5=Grossman|first5=Shamai A.|title=Are Echocardiography, Telemetry, Ambulatory Electrocardiography Monitoring, and Cardiac Enzymes in Emergency Department Patients Presenting with Syncope Useful Tests? A Preliminary Investigation|journal=The Journal of Emergency Medicine|volume=47|issue=1|year=2014|pages=113–118|issn=07364679|doi=10.1016/j.jemermed.2014.01.018}}</ref> | |||
|} | |||
{|class="wikitable" | |||
|- | |||
| colspan="1" style="text-align:center; background:Lightcoral"|[[AHA guidelines classification scheme#Classification of Recommendations|Class III]] | |||
|- | |||
|bgcolor="Lightcoral"|"Routine [[cardiac]] imaging is not useful in the evaluation of [[patients]] with syncope unless [[cardiac]] etiology is suspected on the basis of an initial evaluation, including history, [[physical examination]], or [[ECG]]. (Level of Evidence:B)"<ref name="RecchiaBarzilai1995">{{cite journal|last1=Recchia|first1=Dino|last2=Barzilai|first2=Benico|title=Echocardiography in the evaluation of patients with syncope|journal=Journal of General Internal Medicine|volume=10|issue=12|year=1995|pages=649–655|issn=0884-8734|doi=10.1007/BF02602755}}</ref><ref>{{cite journal|title=Yield of Diagnostic Tests in Evaluating Syncopal Episodes in Older Patients|journal=Archives of Internal Medicine|volume=169|issue=14|year=2009|pages=1299|issn=0003-9926|doi=10.1001/archinternmed.2009.204}}</ref> | |||
|} | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Neurology]] | [[Category:Neurology]] | ||
Latest revision as of 16:37, 20 January 2021
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Syncope Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Syncope echocardiography On the Web |
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American Roentgen Ray Society Images of Syncope echocardiography |
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Risk calculators and risk factors for Syncope echocardiography |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sahar Memar Montazerin, M.D.[2]
Overview
Transthoracic echocardiography can be useful in the diagnostic workup of patients presenting with syncope. This evaluation is especially warranted in patients who are suspected to have underlying cardiovascular disorders.
Echocardiography
- Transthoracic echocardiography can be useful in the diagnostic workup of patients presenting with syncope. This evaluation is especially warranted in patients who are suspected to have underlying cardiovascular disorders.[1]
2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope[1]
Cardiac Imaging
| Class IIa |
| "Transthoracic echocardiography can be useful in selected patients presenting with syncope if structural heart disease is suspected. (Level of Evidence:B)"[2][3][4] |
| Class III |
| "Routine cardiac imaging is not useful in the evaluation of patients with syncope unless cardiac etiology is suspected on the basis of an initial evaluation, including history, physical examination, or ECG. (Level of Evidence:B)"[3][5] |
References
- ↑ 1.0 1.1 Shen, Win-Kuang; Sheldon, Robert S.; Benditt, David G.; Cohen, Mitchell I.; Forman, Daniel E.; Goldberger, Zachary D.; Grubb, Blair P.; Hamdan, Mohamed H.; Krahn, Andrew D.; Link, Mark S.; Olshansky, Brian; Raj, Satish R.; Sandhu, Roopinder Kaur; Sorajja, Dan; Sun, Benjamin C.; Yancy, Clyde W. (2017). "2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society". Circulation. 136 (5). doi:10.1161/CIR.0000000000000499. ISSN 0009-7322.
- ↑ Sarasin, F P (2002). "Role of echocardiography in the evaluation of syncope: a prospective study". Heart. 88 (4): 363–367. doi:10.1136/heart.88.4.363. ISSN 0007-0769.
- ↑ 3.0 3.1 Recchia, Dino; Barzilai, Benico (1995). "Echocardiography in the evaluation of patients with syncope". Journal of General Internal Medicine. 10 (12): 649–655. doi:10.1007/BF02602755. ISSN 0884-8734.
- ↑ Chiu, David T.; Shapiro, Nathan I.; Sun, Benjamin C.; Mottley, J. Lawrence; Grossman, Shamai A. (2014). "Are Echocardiography, Telemetry, Ambulatory Electrocardiography Monitoring, and Cardiac Enzymes in Emergency Department Patients Presenting with Syncope Useful Tests? A Preliminary Investigation". The Journal of Emergency Medicine. 47 (1): 113–118. doi:10.1016/j.jemermed.2014.01.018. ISSN 0736-4679.
- ↑ "Yield of Diagnostic Tests in Evaluating Syncopal Episodes in Older Patients". Archives of Internal Medicine. 169 (14): 1299. 2009. doi:10.1001/archinternmed.2009.204. ISSN 0003-9926.