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Syncope and bundle branch block : Diagnostic approach

Angel Moya1,2, Nuria Rivas-Gandara3, Jordi Perez-Rodón3

  • 1Arrhythmia Unit, Cardiology Department, Hospital Universitari Dexeus, Calle Sabino Arana, 5-19-Planta 6, 08028, Barcelona, Spain. amoyamitjans@gmail.com.

Herzschrittmachertherapie & Elektrophysiologie
|April 27, 2018
PubMed

Insights

This review examines syncope and bundle branch block, focusing on diagnosis and management strategies. It proposes an algorithm for patient care, highlighting electrophysiological studies and implantable loop recorders.

Area of Science:

  • Cardiology
  • Electrophysiology

Background:

  • Syncope and bundle branch block are common clinical presentations requiring accurate diagnosis.
  • Understanding their natural history and diagnostic limitations is crucial for effective management.

Purpose of the Study:

  • To critically review diagnostic approaches for syncope and bundle branch block.
  • To evaluate the role and limitations of electrophysiological studies and implantable loop recorders.
  • To propose a management algorithm for these patients.

Main Methods:

  • Literature review of syncope and bundle branch block.
  • Critical analysis of diagnostic tests, including electrophysiological studies and implantable loop recorders.
  • Development of a clinical management algorithm.

Main Results:

  • The review synthesizes current knowledge on the clinical characteristics and natural history.
  • It assesses the utility and limitations of various diagnostic modalities.
  • An evidence-based management algorithm is proposed.

Conclusions:

  • A structured approach is essential for diagnosing and managing syncope and bundle branch block.
  • Electrophysiological studies and implantable loop recorders have specific roles and limitations.
  • The proposed algorithm aims to optimize patient care pathways.

Keywords:
Cardiac electrophysiology techniquesElectrocardiogramImplantable cardioverter–defibrillatorImplantable loop recorderTilt-table test

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