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[Diagnostics and treatment of syncope].
- Source :
-
Herz [Herz] 2024 Oct; Vol. 49 (5), pp. 394-403. Date of Electronic Publication: 2024 Aug 27. - Publication Year :
- 2024
-
Abstract
- The 2018 guidelines of the European Society of Cardiology (ESC) provide improved algorithms for the diagnostics and treatment of syncope. New guidelines on ventricular tachycardia, on the prevention of sudden cardiac death and on cardiomyopathies and pacemakers have refined the recommendations. The detailed medical history and examination are crucial for differentiating between cardiac and noncardiac causes and determining the appropriate treatment. High-risk patients need urgent and comprehensive diagnostics. The basic diagnostics include medical history, physical examination and a 12-lead electrocardiography (ECG). Further tests, such as long-term ECG monitoring, implantable loop recorders and electrophysiological investigations are helpful in unclear cases. The treatment depends on the cause, with pacemaker implantation and implantable cardioverter defibrillators (ICD) being important for cardiac causes, while behavioral measures and medication management have priority for noncardiac syncope.<br /> (© 2024. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.)
- Subjects :
- Humans
Cardiology standards
Death, Sudden, Cardiac prevention & control
Defibrillators, Implantable
Diagnosis, Differential
Evidence-Based Medicine
Medical History Taking
Pacemaker, Artificial
Physical Examination methods
Practice Guidelines as Topic
Treatment Outcome
Electrocardiography methods
Syncope diagnosis
Syncope therapy
Syncope etiology
Subjects
Details
- Language :
- German
- ISSN :
- 1615-6692
- Volume :
- 49
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Herz
- Publication Type :
- Academic Journal
- Accession number :
- 39190136
- Full Text :
- https://doi.org/10.1007/s00059-024-05260-3