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Syncope

Causes
Clinical features
Investigations
Therapy
Prognosis
Clinical features

Look for cardiovascular causes 
  • an irregular b or slow-rising pulse b

Why?

An irregular pulse makes an arrhythmia more likely

Patient Target Disorder and
Reference Standard
Diagnostic Test LR+
(95% CI)
Post-test Probability LR-
(95% CI)
Post-test Probability
undergoing Holter monitoring b
(pre-test probability: 53%)
arrhythmia
(Holter monitoring)
irregular pulse 8.9
(1.2 to 69)
91% 0.97
(0.94 to 0.99)
52%
 
 

Expiry date: June 2004
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   W N   Kapoor
CAT Writers   CM   Ball , B   Phillips , CJ   Wotton