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[Syncope].

W von Scheidt1, T Klingenheben2, R Bosch3

  • 1I. Medizinische Klinik, Herzzentrum Augsburg-Schwaben, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland. wolfgang.scheidt@uk-augsburg.de.

Der Internist
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Summary
This summary is machine-generated.

Syncope diagnosis and treatment are guided by 2018 European Society of Cardiology guidelines. Critical appraisal highlights challenges in diagnostic test availability and reimbursement for syncope patients.

Keywords:
Carotid sinus massageImplantable loop recorderRisk stratificationSyncope, vasovagalTilt table test

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Area of Science:

  • Cardiology
  • Clinical Medicine

Background:

  • Syncope is a common condition with potentially life-threatening causes.
  • Accurate diagnosis of syncope requires a standardized approach.

Purpose of the Study:

  • To review and critically appraise the 2018 European Society of Cardiology (ESC) guidelines for syncope evaluation and treatment.
  • To highlight new aspects in risk stratification, diagnostic strategies, and treatment algorithms for syncope.

Main Methods:

  • Analysis of the 2018 ESC guidelines for syncope.
  • Inclusion of commentaries from the German Society of Cardiology (DGK) from 2019.
  • Critical appraisal of diagnostic test availability and reimbursement.

Main Results:

  • The guidelines introduce updated strategies for emergency department evaluation, risk stratification, and treatment of reflex syncope.
  • New indications for implantable cardioverter/defibrillators in high-risk patients are discussed.
  • Challenges regarding the availability and reimbursement of diagnostic tests like tilt table testing and implantable loop recorders are identified.

Conclusions:

  • The 2018 ESC guidelines provide a comprehensive framework for syncope management.
  • Addressing practical issues like diagnostic test accessibility is crucial for effective implementation.