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Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance

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An Efficient Approach to the Inpatient Syncope Workup.

Robert Burgese¹, Beman Wasef¹, Daniel Wang

¹Internal Medicine, Lankenau Medical Center, Wynnewood, PA, USA.

Postgraduate Medicine

|September 18, 2024

Summary

This review simplifies syncope evaluation for hospitalists, categorizing causes and guiding risk stratification. It emphasizes structured approaches and diagnostic tools to improve patient care and outcomes for syncope patients.

Keywords:

POCUS Syncope arrhythmia echocardiogram electrocardiogram embolism orthostasis

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Published on: December 28, 2012

Area of Science:

Internal Medicine
Cardiology

Background:

Syncope is a frequent, complex complaint in hospital medicine.
Effective evaluation requires a structured, evidence-based approach.

Purpose of the Study:

To provide hospitalists with a streamlined understanding of syncope evaluation.
To outline current evidence and recommendations for syncope categorization, risk stratification, and diagnosis.

Main Methods:

Literature review using the keyword 'syncope'.
Compilation of current evidence and recommendations.
Structured framework for history, physical exam, and diagnostics.

Main Results:

Syncope categorized into cardiac, neurally mediated, and orthostatic types.
Framework for risk stratification to identify high-risk patients.
Discussion of diagnostic modalities like ECG, echocardiography, and POCUS.

Conclusions:

Standardized approaches optimize resource utilization and patient care.
Evidence-based practices improve outcomes for syncope patients.
Hospitalists can efficiently manage syncope with this structured review.