Syncope Evaluation

History, physical and Electrocardiogram

Echocardiography and

Exercise Treadmill(ETT)

Consider Electropysiologic Study(EPS)

Treat for Arrythmia

Stop Evaluation

Loop Recorder

Stop Evaluation

~ 50% Unexplained Syncope

~ 50% Diagnoses are made

Organic Heart Disease

Abnormal ECG
Exertional Symptoms
Sudden Syncope

Age 60 years

No suspected Heart Disease

Frequent

Infrequent

First Episode

Non-Diagnostic

Arrhythmia with Symptoms

Normal Sinus Rhythm with Symptoms

negative

First time

Tilt Test ,

Psychiatric Evaluation

No suspected Heart Disease

Tilt Test ,

Psychiatric Evaluation

Tilt Test ,

Psychiatric Evaluation

END