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May 1, 1985Pacing and Clinical Electrophysiology

The Role of Electrophysiologic Studies in the Management of Patients with Unexplained Syncope

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Key result

Complete electrophysiological studies reveal abnormalities in 74% of patients with unexplained syncope.

  • n=50

Why the study?

Do complete electrophysiological studies identify actionable abnormalities in patients with unexplained syncope?

Population

50 consecutive patients with unexplained syncope

Design

Cohort

Follow-up

23 +/- 13 months

Authors

PDPablo DenesNorthwestern UniversityMEMarilyn D. EzriTrinity Medical Center

Discussion

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Implication

Supports EPS in unexplained syncope; leaves open whether findings improve outcomes in randomized trials.

Study Design

Type

Observational (n=50)

Structured PICO

Do complete electrophysiological studies identify actionable abnormalities in patients with unexplained syncope?

P
Population
50 consecutive patients with unexplained syncope who underwent 24-hour Holter monitoring and complete electrophysiological studies, followed for a mean of 23 months.
E
Exposure
24-hour dynamic electrocardiographic (Holter) recordings and complete electrophysiological studies
O
Outcome
Frequency and type of electrophysiologic abnormalitiessurrogate

Electrophysiologic studies have a high diagnostic yield (74%) in patients with unexplained syncope, frequently identifying abnormalities that guide targeted therapy such as pacemakers or antiarrhythmic drugs.

Cite This Study

Denes et al. (1985) conducted an observational in Unexplained syncope (n=50). Electrophysiologic studies was evaluated on Abnormal electrophysiologic study. Complete electrophysiological studies revealed abnormalities in 74% of consecutive patients with unexplained syncope.

synapsesocial.com/papers/6aa4ac526803e1e7a1f2d375https://doi.org/10.1111/j.1540-8159.1985.tb05782.x

Topics

Echocardiography
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Intracardiac Electrophysiologic Techniques in Recurrent Syncope of Unknown Cause1981 · 216 citations
  2. 2Role of Cardiac Electrophysiologic Studies in Patients with Unexplained Recurrent Syncope1983 · 132 citations
  3. 3Electrophysiologic Evaluation of Elderly Patients with Sinus Bradycardia1979 · 159 citations
  4. 4A Prospective Evaluation and Follow-up of Patients with Syncope1983 · 787 citations
  5. 5Electrophysiological studies in patients with chronic recurrent ventricular tachycardia.1976 · 144 citations