What is the clinical evidence from this study?

Study design: Review. Population: syncope. Intervention: Diagnostic evaluation. Primary outcome: Diagnostic yield of various tests.

What does this research mean for the field?

History and physical examination identify the cause of syncope in 56% to 85% of diagnosed cases, whereas ambulatory electrocardiographic monitoring rarely correlates symptoms with arrhythmias (only 4%). Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.NEUTRAL.

November 11, 1992JAMA

History and physical exam identify up to ~85% of syncope causes, far exceeding ambulatory monitoring.

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Population

Patients presenting with syncope

Design

Review

Key result

History and physical examination identify the cause of syncope in 56% to 85% of diagnosed cases, while ambulatory monitoring rarely correlates symptoms with arrhythmias (4%).

Authors

WKW. N. Kapoor

Discussion

Member takes

Overview

Supports prioritizing history and physical examination for syncope; leaves open the yield of ambulatory monitoring.

Structured PICO

Population

Review of cohort studies and case series evaluating diagnostic testing and management of patients presenting with syncope.

Exposure

Diagnostic evaluation including history, physical examination, prolonged electrocardiographic monitoring, electrophysiologic studies, and upright tilt testing

Outcome

Diagnostic yield of various tests for determining the cause of syncope

A directed approach to syncope evaluation relies heavily on history and physical examination, with selective use of ambulatory monitoring, electrophysiologic studies, and tilt testing.

Limitations

The specificity of upright tilt testing needs to be further investigated.

Cite This Study

W. N. Kapoor (1992) conducted a review in syncope. Diagnostic evaluation was evaluated on Diagnostic yield of various tests. History and physical examination identify the cause of syncope in 56% to 85% of diagnosed cases, while ambulatory monitoring rarely correlates symptoms with arrhythmias (4%).

synapsesocial.com/papers/6aa82007b5ec84ba9b310fb3 https://doi.org/10.1001/jama.268.18.2553

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November 11, 1992JAMA

History and physical exam identify up to ~85% of syncope causes, far exceeding ambulatory monitoring.

View Full Paper

Ask AI

Bookmark

Population

Patients presenting with syncope

Design

Review

Key result

History and physical examination identify the cause of syncope in 56% to 85% of diagnosed cases, while ambulatory monitoring rarely correlates symptoms with arrhythmias (4%).

Authors

WKW. N. Kapoor

Discussion

Member takes

Overview

Supports prioritizing history and physical examination for syncope; leaves open the yield of ambulatory monitoring.

Structured PICO

Population

Review of cohort studies and case series evaluating diagnostic testing and management of patients presenting with syncope.

Exposure

Diagnostic evaluation including history, physical examination, prolonged electrocardiographic monitoring, electrophysiologic studies, and upright tilt testing

Outcome

Diagnostic yield of various tests for determining the cause of syncope

A directed approach to syncope evaluation relies heavily on history and physical examination, with selective use of ambulatory monitoring, electrophysiologic studies, and tilt testing.

Limitations

The specificity of upright tilt testing needs to be further investigated.

Cite This Study

synapsesocial.com/papers/6aa82007b5ec84ba9b310fb3 https://doi.org/10.1001/jama.268.18.2553

Also Consider

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

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