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[Mortality and resyncope in group of 111 patients five years after syncopal attack]
Laeknabladid
|May 20, 2011
Summary
This study found high mortality rates in syncope patients, with cardiovascular disease and orthostatic hypotension being significant factors. Thorough investigation of syncope or near syncope is crucial, especially for the elderly.
Area of Science:
- Cardiology
- Geriatrics
- Epidemiology
Context:
- Syncope is a common clinical problem with significant implications for patient outcomes.
- Previous studies have suggested increased mortality associated with syncope, but long-term data are limited.
Purpose:
- To investigate mortality and recurrence of syncope (resyncope) in patients diagnosed with syncope five years after initial evaluation.
- To identify specific causes of syncope associated with increased mortality.
Summary:
- A prospective study followed 111 syncope patients for five years. Twenty-one (18.9%) patients died, significantly higher than expected mortality.
- Cardiovascular disease (CVD) and orthostatic hypotension were identified as causes of syncope linked to elevated mortality.
- Resyncope occurred in 24.7% of patients, often due to the same underlying cause.
Impact:
- This study reinforces that syncope, particularly in the elderly, is associated with high mortality.
- Findings underscore the importance of comprehensive diagnostic workups for syncope and near syncope to determine underlying causes and guide management.
- Results confirm previous research indicating elevated mortality in syncope patients.
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