Syncope Admission (ESC Guidelines)
Admission for diagnosis is strongly recommended for: 
- Suspected or known significant heart disease
- Electrocardiographic abnormalities suggestive of arrhythmic syncope
- Syncope occurring during exercise
- Syncope causing severe injury
- Strong family history of sudden death
Admission for diagnosis is occasionally recommended for:
- Patients with or without heart disease but with:
- Sudden onset of palpitations shortly before syncope
- Syncope in supine position
- Worrisome family history
- Significant physical injury
- Patients with minimal or mild heart disease when there is high suspicion for cardiac syncope
- Suspected pacemaker or implantable cardioverter-defibrillator problem
Admission for treatment is recommended for:
- Cardiac arrhythmias as cause of syncope
- Syncope due to cardiac ischemia
- Syncope secondary to the structural cardiac or cardiopulmonary diseases
- Stroke or focal neurologic disorders
- Cardioinhibitory neurally mediated syncope when a pacemaker implantation is planned