• Eric D Manheimer, Glenn Pacio, and Kevin J Ferrick.
• Arrhythmia Service, Department of Cardiology, Albert Einstein College of Medicine-Montefiore Medical Center, Bronx, New York, NY 10467. Electronic address: emanheim@montefiore.org.
• Am J Emerg Med. 2014 Sep 1;32(9):1113-6.

AbstractSyncope is a frequent presenting complaint in the emergency department and is associated with significant medical costs. We examined the utility of inpatient evaluation of syncope for patients in whom a diagnosis was not established in the emergency department. We retrospectively reviewed consecutive patients presenting with syncope to an urban tertiary care medical center. A diagnosis was not established after initial evaluation in the emergency department in 171 of 230 patients admitted. Inhospital evaluation led to a diagnosis in 26 patients. Acute intervention was required in 2 patients. Our observations suggest that an inpatient evaluation of syncope for patients in whom a diagnosis is not made on initial evaluation is of low yield, and outpatient follow-up may be safe.Copyright © 2014 Elsevier Inc. All rights reserved.

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