Key result
Proposed ED syncope algorithm targets high-risk patients to avoid unnecessary admissions but lacks prospective validation.
Why the study?
Assessment in emergency department syncope focuses on identifying patients at high risk of significant bradyarrhythmia or specific cardiac conditions requiring admission while avoiding unnecessary admission for isolated non-specific ECG abnormalities.
The proposed algorithm provides a structured approach to evaluating syncope in the ED using ECG to risk-stratify patients, though it awaits prospective validation.
May refine ED syncope triage to target high-risk cardiac causes; leaves open prospective validation before adoption.
Proposed emergency department approach to syncope. After confirming true syncope and excluding immediately apparent diagnoses, assessment focuses on identifying patients at high risk of clinically significant bradyarrhythmia or other specific cardiac conditions requiring hospital admission, while avoiding unnecessary admission for isolated non-specific ECG abnormalities. The proposed recommendations and algorithm reflect the authors' interpretation of the available evidence and are intended to complement current ESC recommendations. Although informed by observational studies, they remain exploratory and have not yet been prospectively validated.
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Bellicini et al. (2026) conducted a review in Syncope. Proposed emergency department algorithm was evaluated. A proposed emergency department algorithm for syncope focuses on identifying high-risk patients while avoiding unnecessary admissions, though it remains exploratory and prospectively unvalidated.
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