This monograph provides a structured diagnostic approach to syncope based on international guidelines, highlighting the importance of risk stratification and the role of implantable loop recorders in unexplained cases.
Variable syncope management and diagnostic delays warrant standardized protocols; reinforces guideline-based optimization to cut costs and improve outcomes.
Syncope is defined as a transient loss of consciousness (T-LOC) due to temporary global cerebral hypoperfusion. It is characterized by rapid onset, short duration, loss of postural tone possibly causing patient fall, and spontaneous full recovery. Syncope has a high prevalence and incidence within the general population with a relevant impact on both quality of life and health care costs. The diagnosis of syncope is often inaccurate and subject to delay, and management is greatly variable. The main objective of this monograph is to discuss a methodological diagnostic approach to signs and symptoms suggestive of syncope, aiming for a management optimization. The present work is based on a systematic review of recent international guidelines.
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Attardo et al. (2016) studied this question.
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