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 |
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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 |
doi_str_mv | 10.1016/j.jacc.2017.03.002 |
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; 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</creatorcontrib><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><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 Assessment - methods</topic><topic>Sarcoidosis</topic><topic>Sinus</topic><topic>Surgical implants</topic><topic>Syncope</topic><topic>Syncope - diagnosis</topic><topic>Syncope - etiology</topic><topic>Syncope - therapy</topic><topic>Tachycardia</topic><topic>Task forces</topic><topic>Telemetry</topic><topic>United States</topic><topic>Vasovagal syncope</topic><topic>Ventricle</topic><topic>Writing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><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, 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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...</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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