Id 631 Correct Handling For Patients Admitted For Syncope?

Conference: 
Author(s): 
Belinchón Moyano S, Albarracín Moreno B, Cortés Merino P, Lechuga Vázquez P, Martínez Villena B, Alonso Rodríguez E
Spain
icaro88@hotmail.com
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Aim(s) or purpose: To Know the profile of patients admitted for syncope in a tertiary hospital and to compare their management with current clinical guidelines.
Design and method: It consists in a retrospective study that includes 307 patients along one year. We have reviewed medical records of patients admitted for syncope in a tertiary hospital, during 2009. We have included demographic and clinical information and the management developed as a variables. We performed a descriptive analysis and compare the results with the guidelines of “The Task Force For the Diagnosis and Management of Syncope of the European Society of Cardiology (ESC)”.
Results: 307 patients with a initial diagnostic of syncope. They represented the 2.5 % of hospital admissions. They were 178 males (58 %) and 129 females (42 %). The mean age was 69 years. The 66.4 % of patients presented hypertension, 35.4 % hypercholesterolaemia, 26.3 % were diabetic, 25.6 % were smokers. The 29.1 % had previous cardiopathy. The most commonly final diagnostic was cardiac syncope in 131 patients (42.7 %) followed by vasovagal syncope in 41 (13,4 %). The 21.2 % (65 patients) were not diagnosed as any type of syncope at the end of their hospitalisation. The most commonly diagnostic test that was performed was the Holter (9.2 %), followed by CT cranial (19.5 %), coronary angiography (6.9 %), echocardiogram (5.9 %) and exercise testing (2.9 %). The most commonly therapeutic procedure was the ablation (16.8 %), followed by revascularisation (6.6 %) and pacemaker (6.1 %).
Conclusions: The percentage of admissions for syncope had a lower incidence than expected. Syncope was the most frequent secondary to cardiogenic tachyarrhythmias. The low frequency of vasovagal syncope income speaks for the good approach to diagnosis of syncope in emergency. There was no difference in handling between the cardiology and internal medicine. Only a small percentage of patients required invasive testing. The approach of syncope in our hospital is in line with the protocols established by the European clinical guidelines.
Literature: 
ID 631
Correct handling for patients admitted for syncope?