Syncope Patient

UNEXPLAINED SYNCOPE CARDIAC DIAGNOSTICS & MONITORING

Find the answers for your unexplained syncope patients

THE SYNCOPE CHALLENGE

Syncope is Common. Finding the Cause Matters.

Syncope Clinical Impact Chart

SYNCOPE WITH A CARDIAC CAUSE INCREASES MORTALITY RATES

Cardiac syncope can be a predictor of sudden cardiac death3

Syncope Mortality Chart

PATIENTS WANT ANSWERS

Syncope patients endure ongoing diagnostic testing and still come away with no answers5

Syncope Tests Chart


2018 ESC GUIDELINES FOR THE DIAGNOSIS AND MANAGEMENT OF SYNCOPE6

ESC Syncope Guidelines now updated with stronger recommendation for insertable cardiac monitors (ILRs):

  • ILRs upgraded to Class I/Level A recommendation — the strongest level of clinical evidence
  • ILRs added as a Class II/Level B recommendation to diagnose unexplained falls and epilepsy
  • Holter monitor and tilt testing revised from Class I to Class II recommendation

PROLONGED MONITORING RECOMMENDATIONS

Syncope esc guidelines recommendations

RECOMMENDATIONS FOR CARDIAC MONITORING

esc guidelines recommendations level

1

Sun BC, Emond JA, Camargo CA Jr. Inconsistent electrocardiographic testing for syncope in United States emergency departments. Am J Cardiol. May 15, 2004;93(10):1306-1308.

2

Mendu ML, McAvay G, Lampert R, Stoehr J, Tinetti ME. Yield of diagnostic tests in evaluating syncopal episodes in older patients. Arch Intern Med. July 27, 2009;169(14):1299-1305.

3

Engel GL. Psychologic stress, vasodepressor (vasovagal) syncope, and sudden death. Ann Intern Med. September 1978;89(3):403-412.

4

Soteriades ES, Evans JC, Larson MG, et al. Incidence and prognosis of syncope. N Engl J Med. September 19, 2002;347(12):878-885.

5

Edvardsson N, Frykman V, van Mechelin R, et al. Use of an implantable loop recorder to increase the diagnostic yield in unexplained syncope: results from the PICTURE registry. Europace. February 2011;13(2):262-269.

6

Brignole M, Moya A, de Lange FJ, et al. 2018 ESC Guidelines for the diagnosis and management of syncope. Eur Heart J. Published online March 19, 2018.