The Emergency Department Approach to Syncope: Evidence-based Guidelines and Prediction Rules

被引：17

作者：

Kessler, Chad ^{[1
,2
,3
]}

Tristano, Jenny M. ^{[4
]}

De Lorenzo, Robert ^{[5
,6
]}

机构：

[1] Jesse Brown VA Hosp, Dept Emergency Med, Chicago, IL 60612 USA

[2] Univ Illinois, Sch Med Chicago, Dept Internal Med, Chicago, IL 60612 USA

[3] Univ Illinois, Sch Med Chicago, Dept Emergency Med, Chicago, IL 60612 USA

[4] Univ Illinois, Dept Emergency Med Residency Program, Chicago, IL 60612 USA

[5] Uniformed Serv Univ Hlth Sci, Bethesda, MD 20814 USA

[6] Brooke Army Med Ctr, MCHE CI, Dept Clin Invest, Ft Sam Houston, TX 78234 USA

来源：

EMERGENCY MEDICINE CLINICS OF NORTH AMERICA | 2010年 / 28卷 / 03期

关键词：

Syncope; Emergency department; Guidelines; San Francisco Syncope Rule; RISK STRATIFICATION; MANAGEMENT DIAGNOSIS; SHORT-TERM; PROSPECTIVE VALIDATION; AMERICAN-COLLEGE; POPULATION; OUTCOMES; PREVALENCE; PROGNOSIS; HISTORY;

D O I：

10.1016/j.emc.2010.03.014

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Syncope is a sudden, transient loss of consciousness associated with inability to maintain postural tone followed by spontaneous recovery and return to baseline neurologic status. Global cerebral hypoperfusion is the final pathway common to all presentations of syncope, but this symptom presentation has a broad differential diagnosis. It is important to identify patients whose syncope is a symptom of a potentially life-threatening condition. This article reviews the current status of syncope from the emergency department perspective, focusing on the current evidence behind the various clinical decision rules derived during the past decade.

引用

页码：487 / +

页数：15

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