An efficient approach to the inpatient Syncope Workup.

IF 2.6 4区医学 Q1 MEDICINE, GENERAL & INTERNAL

Postgraduate Medicine Pub Date : 2024-09-18 DOI:10.1080/00325481.2024.2406742

Robert Burgese,Beman Wasef,Daniel Wang

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Abstract

OBJECTIVE This review aims to provide hospitalists with a streamlined understanding of the evaluation of syncope, a commonly encountered complaint in hospital medicine. METHODS Authors conducted a literature review using the keyword 'syncope' to compile current evidence and recommendations regarding the categorization, risk stratification, and diagnostic evaluation of syncope. RESULTS The review outlines the categorization of syncope into cardiac, neurally-mediated, and orthostatic types, detailing the clinical features, etiologies, and differential diagnoses of each. It provides a structured framework for history-taking, physical examination, orthostatic vital sign assessment, and risk stratification to guide clinicians in efficiently identifying high-risk patients requiring urgent intervention. Diagnostic modalities including electrocardiography, echocardiography, and point-of-care ultrasound are discussed, along with their respective indications and limitations. CONCLUSION By embracing standardized approaches and evidence-based practices outlined in this review, hospitalists can optimize resource utilization, streamline patient care, and improve outcomes in patients presenting with syncope.

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住院病人晕厥检查的有效方法。

目的：本综述旨在为医院医生提供有关晕厥评估的简明理解，晕厥是医院内科经常遇到的主诉。方法：作者以 "晕厥 "为关键词进行了文献综述，汇编了有关晕厥分类、风险分层和诊断评估的现有证据和建议。结果：本综述概述了晕厥的分类，将其分为心脏型、神经介导型和正位型，并详细介绍了每种类型的临床特征、病因和鉴别诊断。它为病史采集、体格检查、正位性生命体征评估和风险分层提供了一个结构化框架，以指导临床医生有效识别需要紧急干预的高危患者。结论通过采用本综述中概述的标准化方法和循证实践，医院医生可以优化资源利用、简化患者护理并改善晕厥患者的预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Postgraduate Medicine 医学-医学：内科

CiteScore

6.10

自引率

2.40%

发文量

110

审稿时长

6-12 weeks

期刊介绍： Postgraduate Medicine is a rapid peer-reviewed medical journal published for physicians. Tracing its roots back to 1916, Postgraduate Medicine was established by Charles Mayo, MD, as a peer-to-peer method of communicating the latest research to aid physicians when making treatment decisions, and it maintains that aim to this day. In addition to its core subscriber base, Postgraduate Medicine is distributed to hundreds of US-based physicians within internal medicine and family practice.