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Published on: April 5, 2011
Inconsistent electrocardiographic testing for syncope in United States emergency departments
Benjamin C Sun1, Jennifer A Emond, Carlos A Camargo
1Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA 02115, USA. bsun@fas.harvard.edu
Abstract:
The electrocardiogram has diagnostic and prognostic value in the evaluation of syncope, and consensus guidelines suggest routine electrocardiographic testing. An analysis of a nationally representative survey suggests that electrocardiographic testing is performed inconsistently in patients presenting with syncope to United States emergency departments, even in high-risk patients, such as the elderly and hospitalized. Variation in electrocardiographic testing represents an opportunity to improve the care of patients presenting with syncope to emergency departments.
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