• Cardiology clinics · Feb 2013

    Review

    Syncope risk stratification in the emergency department.

    • Giorgio Costantino and Raffaello Furlan.
    • Unità Operativa di Medicina Interna II, Dipartimento di Scienze Cliniche L. Sacco, Ospedale L. Sacco, Università degli Studi di Milano, Via GB Grassi 74, Milano 20157, Italy. giorgic@libero.it
    • Cardiol Clin. 2013 Feb 1;31(1):27-38.

    AbstractThe overall risk for a patient entering the emergency department (ED) because of syncope ranges between 5% and 15%, and the mortality at 1 week is approximately 1%. The primary goal for the ED physician is thus to discriminate individuals at low risk, who can be safely discharged, from patients at high risk, who warrant a prompt hospitalization for monitoring and/or appropriate treatment. Different rules and risk scores have been proposed. More ad hoc studies are needed to define the prognostic and diagnostic roles of the brain natriuretic peptide and other noninvasive laboratory markers.Copyright © 2013 Elsevier Inc. All rights reserved.

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