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    Ned Tijdschr Geneeskd. 2003 May 3;147(18):849-54.

    [Initial diagnostic strategy in the case of transient losses of consciousness: the importance of the medical history].

    [Article in Dutch]
    Wieling W, Ganzeboom KS, Krediet CT, Grundmeijer HG, Wilde AA, van Dijk JG.

    Source

    Academisch Medisch Centrum/Universiteit van Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam. w.wieling@amc.uva.nl

    Abstract

    It is estimated that almost half of the people experience a transient loss of consciousness at some time during their life. In young patients (< 35 years) the cause is mostly a reflex syncope. In older patients the common causes are orthostatic and postprandial hypotension, sinus caroticus syndrome, cardiac arrhythmias and valvular disorders. The medical history can identify a probable cause of the transient loss of consciousness in almost all young patients (< 35 years) and in the majority of older patients. A physical examination and an ECG should be performed in all patients who have experienced a transient loss of consciousness, other than those with classical vasovagal syncope, in order to exclude orthostatic hypotension and dangerous cardiac causes.

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    PMID:
    12756875
    [PubMed - indexed for MEDLINE]

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      Cited by 2 PubMed Central articles

      • Emerging Risk Stratification in Syncope. [Eur J Cardiovasc Med. 2010]
        Emerging Risk Stratification in Syncope.
        Jamalyan SV, Khachatryan LA. Eur J Cardiovasc Med. 2010 Jul 1; 1(2):38-48.
      • Guidelines for the diagnosis and management of syncope (version 2009). [Eur Heart J. 2009]
        Guidelines for the diagnosis and management of syncope (version 2009).
        Task Force for the Diagnosis and Management of Syncope, European Society of Cardiology (ESC), European Heart Rhythm Association (EHRA), Heart Failure Association (HFA), Heart Rhythm Society (HRS), Moya A, Sutton R, Ammirati F, Blanc JJ, Brignole M, et al. Eur Heart J. 2009 Nov; 30(21):2631-71. Epub 2009 Aug 27.

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