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February 1, 1986Postgraduate Medicine

History, physical exam, and screening labs pinpoint the cause of syncope in ~50% of cases.

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Why the study?

What is the optimal diagnostic approach for determining the etiology of syncope?

Population

Patients presenting with syncope

Design

Review

Key result

A meticulous history, physical examination, and screening laboratory studies can pinpoint the cause of syncope in nearly half of cases, with further testing reserved for recurrent or high-risk cases.

Authors

RHRobert M. HaddadTST. Duncan Sellers

Discussion

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Overview

May prioritize history and exam to limit testing in syncope; leaves open prospective validation of yield and outcomes.

Structured PICO

What is the optimal diagnostic approach for determining the etiology of syncope?

P
Population
Patients presenting with syncope
I
Intervention
Diagnostic evaluation including history, physical examination, screening laboratory studies, and further testing (e.g., 24-hour electrocardiographic monitoring, two-dimensional echocardiography, exercise stress testing, and electrophysiologic testing)
O
Outcome
Etiologic diagnosis of syncope

A structured diagnostic approach starting with a thorough history and physical examination is crucial for identifying the etiology of syncope.

Cite This Study

Haddad et al. (1986) conducted a review in Syncope. A meticulous history, physical examination, and screening laboratory studies can pinpoint the cause of syncope in nearly half of cases, with further testing reserved for recurrent or high-risk cases.

synapsesocial.com/papers/6aa712b0c35861aa568283bdhttps://doi.org/10.1080/00325481.1986.11699264
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