Key result
ESC syncope guidelines outline structured evaluation tailored to frailty and atypical presentations in older patients.
Why the study?
The diagnosis and management of syncope in older patients is complex due to atypical presentations and age-related comorbidities, requiring structured assessment.
The 2018 ESC guidelines on syncope provide a structured assessment and management approach that is applicable to older patients, accounting for age-related comorbidity and frailty.
May guide structured syncope evaluation in frail older adults; leaves open prospective validation of outcomes.
The prevalence of syncope increases with advancing age and is associated with significant morbidity and mortality. The diagnosis within this population can be complex due to atypical presentations, amnesia for events, absence of witnesses and the overlap with other clinical presentations, as falls. The recent reappraisal of the European Society of Cardiology guidelines on syncope, proposes a structured assessment and management, which is enforceable also in the older patient, with special attention to some additional features, pertinent to age-related comorbidity and frailty.
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Ungar et al. (2018) conducted a review in Syncope in older patients. 2018 European Society of Cardiology guidelines on syncope was evaluated. The 2018 ESC guidelines on syncope propose a structured assessment and management approach for older patients, with special attention to age-related comorbidity, frailty, and atypical presentations.
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