Management of syncope: from evidence to clinical practice

• Main Authors: Tiziana M. Attardo, Immacolata Ambrosino, Elena Magnani, Nathan Artom, Nicola Battino, Deasy Cervo, Massimiliano Chiuch, Mariella Frualdo, Miriam Gino, Federico Pasin, Carlo Zaninetti
• Format: Article
• Language: English
• Published: PAGEPress Publications 2016-06-01
• Series: Italian Journal of Medicine
• Subjects: Syncope; transient loss of consciousness; unexplained syncope; internal loop recorder.
• Online Access: http://www.italjmed.org/index.php/ijm/article/view/732

Syncope is defined as a transient loss of consciousness due to temporary global cerebral hypoperfusion. It is characterized by rapid onset, short duration, loss of postural tone possibly causing patient fall, and spontaneous full recovery. Syncope has a high prevalence and incidence within the general population with a relevant impact on both quality of life and health care costs. The diagnosis of syncope is often inaccurate and subject to delay, and management is greatly variable. The main objective of this monograph is to discuss a methodological diagnostic approach to signs and symptoms suggestive of syncope, aiming for a management optimization. The present work is based on a systematic review of recent international guidelines.