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SyncopeSyncope, a brief self-limited transient loss of consciousness, is a relatively common occurrence in the general population with a variety of underlying causes. It is associated with:
While the underlying cause of syncope can often be determined and appropriate treatment chosen, as many as 47% of all cases of syncope episodes are unexplained.5 Findings from the Framingham Heart Study population suggest additional diagnostic testing and evaluation of unexplained syncope may be advised. A review of over 7,800 patients showed that those with unexplained and cardiac syncope were at increased risk of death.6 In fact, those with:
The evaluation of syncope is based on many factors including the patient’s account of the syncopal episode, clinical presentation, and history of prior events. Long-term ECG monitoring with an insertable loop recorder (ILR) can provide a symptom-rhythm correlation that may help rule-in and rule-out cardiac arrhythmias in those with recurrent, but infrequent syncope. References
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