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Syncope

Causes
Clinical features
Investigations
Therapy
Prognosis
Prognosis

Recurrent syncope is more likely if: a
  • your patient is aged 45 or less
  • 4 or more episodes of syncope in the last year
  • 2 or more psychiatric diagnoses  

Why?

Recurrent syncope, psychiatric problems and a young age increase the risk of recurrence

Patient Prognostic Factor Outcome CER OR
(95% CI)
NNF+
(95% CI)
syncope a aged 45 or less
independent
recurrent syncope
at 12 months
34% 1.9
(1.1 to 3.4)
3
(1 to 29)
  4 or more episodes of syncope in the last year
independent
    3.8
(2.1 to 7.0)
1
(1 to 3)
  2 or more psychiatric diagnoses
independent
    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