open access

Vol 21, No 6 (2014)
Review paper
Published online: 2014-12-18
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Clinical history in management of suspected syncope: A powerful diagnostic tool

Richard Sutton, Nynke van Dijk, Wouter Wieling
DOI: 10.5603/CJ.2014.0097
·
Cardiol J 2014;21(6):651-657.

open access

Vol 21, No 6 (2014)
Review articles
Published online: 2014-12-18

Abstract

In this paper, the role of history taking as a diagnostic tool in patients with transient loss of consciousness (TLOC) is addressed. From a literature review it can be demonstrated that, if properly performed, the history is a powerful diagnostic tool, which in the majority of cases proves to be the only ‘test’ necessary to establish a diagnosis other than physical examination and electrocardiogram in patients with TLOC. In order to substantiate this conclusion, we examine the different levels of history taking according to the skills and training of the physician involved, the diagnostic yield of each level, the methodology, and the influence of the venue and urgency of the case.

Abstract

In this paper, the role of history taking as a diagnostic tool in patients with transient loss of consciousness (TLOC) is addressed. From a literature review it can be demonstrated that, if properly performed, the history is a powerful diagnostic tool, which in the majority of cases proves to be the only ‘test’ necessary to establish a diagnosis other than physical examination and electrocardiogram in patients with TLOC. In order to substantiate this conclusion, we examine the different levels of history taking according to the skills and training of the physician involved, the diagnostic yield of each level, the methodology, and the influence of the venue and urgency of the case.

Get Citation

Keywords

transient loss of consciousness, syncope, diagnosis, risk stratification, narrative medicine, evidence based medicine, decision rules, diagnostic scores

About this article
Title

Clinical history in management of suspected syncope: A powerful diagnostic tool

Journal

Cardiology Journal

Issue

Vol 21, No 6 (2014)

Article type

Review paper

Pages

651-657

Published online

2014-12-18

DOI

10.5603/CJ.2014.0097

Bibliographic record

Cardiol J 2014;21(6):651-657.

Keywords

transient loss of consciousness
syncope
diagnosis
risk stratification
narrative medicine
evidence based medicine
decision rules
diagnostic scores

Authors

Richard Sutton
Nynke van Dijk
Wouter Wieling

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