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Syncope

Causes
Clinical features
Investigations
Therapy
Prognosis
Clinical features

Ask about  previous psychiatric problems c

Why?

  • Psychiatric problems account for some unexplained cases - 24% of patients have evidence of major depression or panic disorder: (95% CI: 14% to 33%) c

Two or more psychiatric diagnoses increase the risk of recurrent syncope

Patient Prognostic Factor Outcome CER OR
(95% CI)
NNF+
(95% CI)
syncope a 2 or more psychiatric diagnoses
independent
recurrent syncope
at 12 months
34% 2.3
(1.0 to 1.6)
2
(5 to infinity)
 

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