Syncope echocardiography

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sahar Memar Montazerin, M.D.[2]

Overview

Transthoracic echocardiography can be useful in the diagnostic workup of patients presenting with syncope. This evaluation is especially warranted in patients who are suspected to have underlying cardiovascular disorders.

Echocardiography

Transthoracic echocardiography can be useful in the diagnostic workup of patients presenting with syncope. This evaluation is especially warranted in patients who are suspected to have underlying cardiovascular disorders.^[1]

2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope[1]

2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope^[1]

Cardiac Imaging

Class IIa
“Transthoracic echocardiography can be useful in selected patients presenting with syncope if structural heart disease is suspected. (Level of Evidence:B)”^[2]^[3]^[4]

Class III
“Routine cardiac imaging is not useful in the evaluation of patients with syncope unless cardiac etiology is suspected on the basis of an initial evaluation, including history, physical examination, or ECG. (Level of Evidence:B)”^[3]^[5]

References

↑ ^1.0 ^1.1 Shen, Win-Kuang; Sheldon, Robert S.; Benditt, David G.; Cohen, Mitchell I.; Forman, Daniel E.; Goldberger, Zachary D.; Grubb, Blair P.; Hamdan, Mohamed H.; Krahn, Andrew D.; Link, Mark S.; Olshansky, Brian; Raj, Satish R.; Sandhu, Roopinder Kaur; Sorajja, Dan; Sun, Benjamin C.; Yancy, Clyde W. (2017). “2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society”. Circulation. 136 (5). doi:10.1161/CIR.0000000000000499. ISSN 0009-7322.
↑ Sarasin, F P (2002). “Role of echocardiography in the evaluation of syncope: a prospective study”. Heart. 88 (4): 363–367. doi:10.1136/heart.88.4.363. ISSN 0007-0769.
↑ ^3.0 ^3.1 Recchia, Dino; Barzilai, Benico (1995). “Echocardiography in the evaluation of patients with syncope”. Journal of General Internal Medicine. 10 (12): 649–655. doi:10.1007/BF02602755. ISSN 0884-8734.
↑ Chiu, David T.; Shapiro, Nathan I.; Sun, Benjamin C.; Mottley, J. Lawrence; Grossman, Shamai A. (2014). “Are Echocardiography, Telemetry, Ambulatory Electrocardiography Monitoring, and Cardiac Enzymes in Emergency Department Patients Presenting with Syncope Useful Tests? A Preliminary Investigation”. The Journal of Emergency Medicine. 47 (1): 113–118. doi:10.1016/j.jemermed.2014.01.018. ISSN 0736-4679.
↑ “Yield of Diagnostic Tests in Evaluating Syncopal Episodes in Older Patients”. Archives of Internal Medicine. 169 (14): 1299. 2009. doi:10.1001/archinternmed.2009.204. ISSN 0003-9926.

[ShenSheldon2017-1] 1.0 ^1.1 Shen, Win-Kuang; Sheldon, Robert S.; Benditt, David G.; Cohen, Mitchell I.; Forman, Daniel E.; Goldberger, Zachary D.; Grubb, Blair P.; Hamdan, Mohamed H.; Krahn, Andrew D.; Link, Mark S.; Olshansky, Brian; Raj, Satish R.; Sandhu, Roopinder Kaur; Sorajja, Dan; Sun, Benjamin C.; Yancy, Clyde W. (2017). “2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society”. Circulation. 136 (5). doi:10.1161/CIR.0000000000000499. ISSN 0009-7322.

[Sarasin2002-2] Sarasin, F P (2002). “Role of echocardiography in the evaluation of syncope: a prospective study”. Heart. 88 (4): 363–367. doi:10.1136/heart.88.4.363. ISSN 0007-0769.

[RecchiaBarzilai1995-3] 3.0 ^3.1 Recchia, Dino; Barzilai, Benico (1995). “Echocardiography in the evaluation of patients with syncope”. Journal of General Internal Medicine. 10 (12): 649–655. doi:10.1007/BF02602755. ISSN 0884-8734.

[ChiuShapiro2014-4] Chiu, David T.; Shapiro, Nathan I.; Sun, Benjamin C.; Mottley, J. Lawrence; Grossman, Shamai A. (2014). “Are Echocardiography, Telemetry, Ambulatory Electrocardiography Monitoring, and Cardiac Enzymes in Emergency Department Patients Presenting with Syncope Useful Tests? A Preliminary Investigation”. The Journal of Emergency Medicine. 47 (1): 113–118. doi:10.1016/j.jemermed.2014.01.018. ISSN 0736-4679.

[5] “Yield of Diagnostic Tests in Evaluating Syncopal Episodes in Older Patients”. Archives of Internal Medicine. 169 (14): 1299. 2009. doi:10.1001/archinternmed.2009.204. ISSN 0003-9926.

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