| Factors that should be considered as high risk for adverse outcome include |
☐Older age and associated comorbidities (likely mostly reflective of
cardiovascular health and risk) ☐Abnormal electrocardiogram including Acute ischemia ☐Abnormal electrocardiogram including Dysrhythmias ☐Abnormal electrocardiogram including Significant conduction
abnormalities ☐Hematocrit<30% (if obtained) ☐History or presence of Coronary artery disease ☐History or presence of Heart failure ☐History or presence of Structural heart disease |
Admission to the hospital for syncope is based upon whether there is likely to be an underlying serious cause for the syncope (admit for diagnosis) &/or a cause that likely requires some specific treatment (admit for treatment).
Various risk stratification systems exist.Presented here are the AmericanCollege of Emergency Physicians 2007 clinical policy.
Factors that should be considered as high risk for adverse outcome (e.g. hospital admission is recommended) include:
Reference:
Huff JS, et al. Clinical policy: critical issues in the evaluation and management of adult patients presenting to the emergency department with syncope. Ann Emerg Med 2007;49:431-44.