2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society

Table of Contents Preamble622 Introduction624 Methodology and Evidence Review624 Organization of the Writing Committee625 Document Review and Approval625 Scope of the Guideline625 General Principles626 Definitions: Terms and Classification626 Epidemiology and Demographics627 Initial Evaluation of Pa...

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Veröffentlicht in:Journal of the American College of Cardiology 2017-08, Vol.70 (5), p.620-663
Hauptverfasser: 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
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container_end_page 663
container_issue 5
container_start_page 620
container_title Journal of the American College of Cardiology
container_volume 70
creator 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
description Table of Contents Preamble622 Introduction624 Methodology and Evidence Review624 Organization of the Writing Committee625 Document Review and Approval625 Scope of the Guideline625 General Principles626 Definitions: Terms and Classification626 Epidemiology and Demographics627 Initial Evaluation of Patients With Syncope: Recommendations628 History and Physical Examination: Recommendation628 Electrocardiography: Recommendation628 Risk Assessment: Recommendations628 Disposition After Initial Evaluation: Recommendations630 Additional Evaluation and Diagnosis631 Blood Testing: Recommendations631 Cardiovascular Testing: Recommendations632 Cardiac Imaging: Recommendations632 Stress Testing: Recommendation632 Cardiac Monitoring: Recommendations632 In-Hospital Telemetry: Recommendation633 Electrophysiological Study: Recommendations634 Tilt-Table Testing: Recommendations634 Neurological Testing: Recommendations634 Autonomic Evaluation: Recommendation634 Neurological and Imaging Diagnostics: Recommendations635 Management of Cardiovascular Conditions635 Arrhythmic Conditions: Recommendations635 Bradycardia: Recommendation635 Supraventricular Tachycardia: Recommendations635 Ventricular Arrhythmia: Recommendation635 Structural Conditions: Recommendations635 Ischemic and Nonischemic Cardiomyopathy: Recommendations635 Valvular Heart Disease: Recommendation635 Hypertrophic Cardiomyopathy: Recommendation636 Arrhythmogenic Right Ventricular Cardiomyopathy: Recommendations636 Cardiac Sarcoidosis: Recommendations636 Inheritable Arrhythmic Conditions: Recommendations637 Brugada Syndrome: Recommendations637 Short-QT Syndrome: Recommendation637 Long-QT Syndrome: Recommendations637 Catecholaminergic Polymorphic Ventricular Tachycardia: Recommendations638 Early Repolarization Pattern: Recommendations638 Reflex Conditions: Recommendations639 Vasovagal Syncope: Recommendations639 Pacemakers in Vasovagal Syncope: Recommendation640 Carotid Sinus Syndrome: Recommendations640 Other Reflex Conditions641 Orthostatic Hypotension: Recommendations641 Neurogenic Orthostatic Hypotension: Recommendations641 Dehydration and Drugs: Recommendations642 Orthostatic Intolerance642 Pseudosyncope: Recommendations643 Uncommon Conditions Associated With Syncope643 Age, Lifestyle, and Special Populations: Recommendations643 Pediatric Syncope: Recommendations643 Adult Congenital Heart Disease: Recommendations644 Geriatric Patients: Recommendations644 Driving and Syncope: Recommendation644 Athletes: Recommend
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Telemetry: Recommendation633 Electrophysiological Study: Recommendations634 Tilt-Table Testing: Recommendations634 Neurological Testing: Recommendations634 Autonomic Evaluation: Recommendation634 Neurological and Imaging Diagnostics: Recommendations635 Management of Cardiovascular Conditions635 Arrhythmic Conditions: Recommendations635 Bradycardia: Recommendation635 Supraventricular Tachycardia: Recommendations635 Ventricular Arrhythmia: Recommendation635 Structural Conditions: Recommendations635 Ischemic and Nonischemic Cardiomyopathy: Recommendations635 Valvular Heart Disease: Recommendation635 Hypertrophic Cardiomyopathy: Recommendation636 Arrhythmogenic Right Ventricular Cardiomyopathy: Recommendations636 Cardiac Sarcoidosis: Recommendations636 Inheritable Arrhythmic Conditions: Recommendations637 Brugada Syndrome: Recommendations637 Short-QT Syndrome: Recommendation637 Long-QT Syndrome: Recommendations637 Catecholaminergic Polymorphic Ventricular Tachycardia: Recommendations638 Early Repolarization Pattern: Recommendations638 Reflex Conditions: Recommendations639 Vasovagal Syncope: Recommendations639 Pacemakers in Vasovagal Syncope: Recommendation640 Carotid Sinus Syndrome: Recommendations640 Other Reflex Conditions641 Orthostatic Hypotension: Recommendations641 Neurogenic Orthostatic Hypotension: Recommendations641 Dehydration and Drugs: Recommendations642 Orthostatic Intolerance642 Pseudosyncope: Recommendations643 Uncommon Conditions Associated With Syncope643 Age, Lifestyle, and Special Populations: Recommendations643 Pediatric Syncope: Recommendations643 Adult Congenital Heart Disease: Recommendations644 Geriatric Patients: Recommendations644 Driving and Syncope: Recommendation644 Athletes: Recommendations645 Quality of Life and Healthcare Cost of Syncope645 Impact of Syncope on Quality of Life645 Healthcare Costs Associated With Syncope645 Emerging Technology, Evidence Gaps, and Future Directions645 Definition, Classification, and Epidemiology645 Risk Stratification and Clinical Outcomes645 Evaluation...</description><identifier>ISSN: 0735-1097</identifier><identifier>EISSN: 1558-3597</identifier><identifier>DOI: 10.1016/j.jacc.2017.03.002</identifier><identifier>PMID: 28286222</identifier><language>eng</language><publisher>United States: Elsevier Limited</publisher><subject>Adult ; Aged ; American Heart Association ; Arrhythmia ; Athletes ; Autonomic nervous system ; Bias ; Bradycardia ; Cardiac arrhythmia ; Cardiology ; Cardiology - methods ; Cardiology - standards ; Cardiomyopathy ; Cardiovascular disease ; Cardiovascular Diseases - complications ; Carotid sinus ; Child ; Classification ; Clinical medicine ; Clinical practice guidelines ; Consciousness ; Coronary artery disease ; Dehydration ; Drugs ; EKG ; Electrocardiography ; Electrophysiological recording ; Epidemiology ; Evaluation ; Health care ; Heart ; Heart diseases ; Humans ; Hypotension ; Ischemia ; Medical diagnosis ; Medical prognosis ; Pacemakers ; Patient Care Management - methods ; Patient Care Management - standards ; Patients ; Prognosis ; Quality of life ; Risk assessment ; Risk Assessment - methods ; Sarcoidosis ; Sinus ; Surgical implants ; Syncope ; Syncope - diagnosis ; Syncope - etiology ; Syncope - therapy ; Tachycardia ; Task forces ; Telemetry ; United States ; Vasovagal syncope ; Ventricle ; Writing</subject><ispartof>Journal of the American College of Cardiology, 2017-08, Vol.70 (5), p.620-663</ispartof><rights>Copyright Elsevier Limited Aug 1, 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28286222$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shen, Win-Kuang</creatorcontrib><creatorcontrib>Sheldon, Robert S</creatorcontrib><creatorcontrib>Benditt, David G</creatorcontrib><creatorcontrib>Cohen, Mitchell I</creatorcontrib><creatorcontrib>Forman, Daniel E</creatorcontrib><creatorcontrib>Goldberger, Zachary D</creatorcontrib><creatorcontrib>Grubb, Blair P</creatorcontrib><creatorcontrib>Hamdan, Mohamed H</creatorcontrib><creatorcontrib>Krahn, Andrew D</creatorcontrib><creatorcontrib>Link, Mark S</creatorcontrib><creatorcontrib>Olshansky, Brian</creatorcontrib><creatorcontrib>Raj, Satish R</creatorcontrib><creatorcontrib>Sandhu, Roopinder Kaur</creatorcontrib><creatorcontrib>Sorajja, Dan</creatorcontrib><creatorcontrib>Sun, Benjamin C</creatorcontrib><creatorcontrib>Yancy, Clyde W</creatorcontrib><title>2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society</title><title>Journal of the American College of Cardiology</title><addtitle>J Am Coll Cardiol</addtitle><description>Table of Contents Preamble622 Introduction624 Methodology and Evidence Review624 Organization of the Writing Committee625 Document Review and Approval625 Scope of the Guideline625 General Principles626 Definitions: Terms and Classification626 Epidemiology and Demographics627 Initial Evaluation of Patients With Syncope: Recommendations628 History and Physical Examination: Recommendation628 Electrocardiography: Recommendation628 Risk Assessment: Recommendations628 Disposition After Initial Evaluation: Recommendations630 Additional Evaluation and Diagnosis631 Blood Testing: Recommendations631 Cardiovascular Testing: Recommendations632 Cardiac Imaging: Recommendations632 Stress Testing: Recommendation632 Cardiac Monitoring: Recommendations632 In-Hospital Telemetry: Recommendation633 Electrophysiological Study: Recommendations634 Tilt-Table Testing: Recommendations634 Neurological Testing: Recommendations634 Autonomic Evaluation: Recommendation634 Neurological and Imaging Diagnostics: Recommendations635 Management of Cardiovascular Conditions635 Arrhythmic Conditions: Recommendations635 Bradycardia: Recommendation635 Supraventricular Tachycardia: Recommendations635 Ventricular Arrhythmia: Recommendation635 Structural Conditions: Recommendations635 Ischemic and Nonischemic Cardiomyopathy: Recommendations635 Valvular Heart Disease: Recommendation635 Hypertrophic Cardiomyopathy: Recommendation636 Arrhythmogenic Right Ventricular Cardiomyopathy: Recommendations636 Cardiac Sarcoidosis: Recommendations636 Inheritable Arrhythmic Conditions: Recommendations637 Brugada Syndrome: Recommendations637 Short-QT Syndrome: Recommendation637 Long-QT Syndrome: Recommendations637 Catecholaminergic Polymorphic Ventricular Tachycardia: Recommendations638 Early Repolarization Pattern: Recommendations638 Reflex Conditions: Recommendations639 Vasovagal Syncope: Recommendations639 Pacemakers in Vasovagal Syncope: Recommendation640 Carotid Sinus Syndrome: Recommendations640 Other Reflex Conditions641 Orthostatic Hypotension: Recommendations641 Neurogenic Orthostatic Hypotension: Recommendations641 Dehydration and Drugs: Recommendations642 Orthostatic Intolerance642 Pseudosyncope: Recommendations643 Uncommon Conditions Associated With Syncope643 Age, Lifestyle, and Special Populations: Recommendations643 Pediatric Syncope: Recommendations643 Adult Congenital Heart Disease: Recommendations644 Geriatric Patients: Recommendations644 Driving and Syncope: Recommendation644 Athletes: Recommendations645 Quality of Life and Healthcare Cost of Syncope645 Impact of Syncope on Quality of Life645 Healthcare Costs Associated With Syncope645 Emerging Technology, Evidence Gaps, and Future Directions645 Definition, Classification, and Epidemiology645 Risk Stratification and Clinical Outcomes645 Evaluation...</description><subject>Adult</subject><subject>Aged</subject><subject>American Heart Association</subject><subject>Arrhythmia</subject><subject>Athletes</subject><subject>Autonomic nervous system</subject><subject>Bias</subject><subject>Bradycardia</subject><subject>Cardiac arrhythmia</subject><subject>Cardiology</subject><subject>Cardiology - methods</subject><subject>Cardiology - standards</subject><subject>Cardiomyopathy</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular Diseases - complications</subject><subject>Carotid sinus</subject><subject>Child</subject><subject>Classification</subject><subject>Clinical medicine</subject><subject>Clinical practice guidelines</subject><subject>Consciousness</subject><subject>Coronary artery disease</subject><subject>Dehydration</subject><subject>Drugs</subject><subject>EKG</subject><subject>Electrocardiography</subject><subject>Electrophysiological recording</subject><subject>Epidemiology</subject><subject>Evaluation</subject><subject>Health care</subject><subject>Heart</subject><subject>Heart diseases</subject><subject>Humans</subject><subject>Hypotension</subject><subject>Ischemia</subject><subject>Medical diagnosis</subject><subject>Medical prognosis</subject><subject>Pacemakers</subject><subject>Patient Care Management - methods</subject><subject>Patient Care Management - standards</subject><subject>Patients</subject><subject>Prognosis</subject><subject>Quality of life</subject><subject>Risk assessment</subject><subject>Risk Assessment - methods</subject><subject>Sarcoidosis</subject><subject>Sinus</subject><subject>Surgical implants</subject><subject>Syncope</subject><subject>Syncope - diagnosis</subject><subject>Syncope - etiology</subject><subject>Syncope - therapy</subject><subject>Tachycardia</subject><subject>Task forces</subject><subject>Telemetry</subject><subject>United States</subject><subject>Vasovagal 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the Heart Rhythm Society</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p239t-fcf5d07216b5afa6bb07527acc4c7e77458e91d6b51e2f55fe783a629e7522a13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>American Heart Association</topic><topic>Arrhythmia</topic><topic>Athletes</topic><topic>Autonomic nervous system</topic><topic>Bias</topic><topic>Bradycardia</topic><topic>Cardiac arrhythmia</topic><topic>Cardiology</topic><topic>Cardiology - methods</topic><topic>Cardiology - standards</topic><topic>Cardiomyopathy</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular Diseases - complications</topic><topic>Carotid sinus</topic><topic>Child</topic><topic>Classification</topic><topic>Clinical medicine</topic><topic>Clinical practice guidelines</topic><topic>Consciousness</topic><topic>Coronary artery disease</topic><topic>Dehydration</topic><topic>Drugs</topic><topic>EKG</topic><topic>Electrocardiography</topic><topic>Electrophysiological recording</topic><topic>Epidemiology</topic><topic>Evaluation</topic><topic>Health care</topic><topic>Heart</topic><topic>Heart diseases</topic><topic>Humans</topic><topic>Hypotension</topic><topic>Ischemia</topic><topic>Medical diagnosis</topic><topic>Medical prognosis</topic><topic>Pacemakers</topic><topic>Patient Care Management - methods</topic><topic>Patient Care Management - standards</topic><topic>Patients</topic><topic>Prognosis</topic><topic>Quality of life</topic><topic>Risk assessment</topic><topic>Risk 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Recommendation633 Electrophysiological Study: Recommendations634 Tilt-Table Testing: Recommendations634 Neurological Testing: Recommendations634 Autonomic Evaluation: Recommendation634 Neurological and Imaging Diagnostics: Recommendations635 Management of Cardiovascular Conditions635 Arrhythmic Conditions: Recommendations635 Bradycardia: Recommendation635 Supraventricular Tachycardia: Recommendations635 Ventricular Arrhythmia: Recommendation635 Structural Conditions: Recommendations635 Ischemic and Nonischemic Cardiomyopathy: Recommendations635 Valvular Heart Disease: Recommendation635 Hypertrophic Cardiomyopathy: Recommendation636 Arrhythmogenic Right Ventricular Cardiomyopathy: Recommendations636 Cardiac Sarcoidosis: Recommendations636 Inheritable Arrhythmic Conditions: Recommendations637 Brugada Syndrome: Recommendations637 Short-QT Syndrome: Recommendation637 Long-QT Syndrome: Recommendations637 Catecholaminergic Polymorphic Ventricular Tachycardia: Recommendations638 Early Repolarization Pattern: Recommendations638 Reflex Conditions: Recommendations639 Vasovagal Syncope: Recommendations639 Pacemakers in Vasovagal Syncope: Recommendation640 Carotid Sinus Syndrome: Recommendations640 Other Reflex Conditions641 Orthostatic Hypotension: Recommendations641 Neurogenic Orthostatic Hypotension: Recommendations641 Dehydration and Drugs: Recommendations642 Orthostatic Intolerance642 Pseudosyncope: Recommendations643 Uncommon Conditions Associated With Syncope643 Age, Lifestyle, and Special Populations: Recommendations643 Pediatric Syncope: Recommendations643 Adult Congenital Heart Disease: Recommendations644 Geriatric Patients: Recommendations644 Driving and Syncope: Recommendation644 Athletes: Recommendations645 Quality of Life and Healthcare Cost of Syncope645 Impact of Syncope on Quality of Life645 Healthcare Costs Associated With Syncope645 Emerging Technology, Evidence Gaps, and Future Directions645 Definition, Classification, and Epidemiology645 Risk Stratification and Clinical Outcomes645 Evaluation...</abstract><cop>United States</cop><pub>Elsevier Limited</pub><pmid>28286222</pmid><doi>10.1016/j.jacc.2017.03.002</doi><tpages>44</tpages></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Adult
Aged
American Heart Association
Arrhythmia
Athletes
Autonomic nervous system
Bias
Bradycardia
Cardiac arrhythmia
Cardiology
Cardiology - methods
Cardiology - standards
Cardiomyopathy
Cardiovascular disease
Cardiovascular Diseases - complications
Carotid sinus
Child
Classification
Clinical medicine
Clinical practice guidelines
Consciousness
Coronary artery disease
Dehydration
Drugs
EKG
Electrocardiography
Electrophysiological recording
Epidemiology
Evaluation
Health care
Heart
Heart diseases
Humans
Hypotension
Ischemia
Medical diagnosis
Medical prognosis
Pacemakers
Patient Care Management - methods
Patient Care Management - standards
Patients
Prognosis
Quality of life
Risk assessment
Risk Assessment - methods
Sarcoidosis
Sinus
Surgical implants
Syncope
Syncope - diagnosis
Syncope - etiology
Syncope - therapy
Tachycardia
Task forces
Telemetry
United States
Vasovagal syncope
Ventricle
Writing
title 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society
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