Syncope Management From Emergency Department to Hospital*
Michele Brignole, MD ,* and
Win K. Shen, MD, FACC
Department of Cardiology and Arrhythmologic Center, Ospedali del Tigullio, Lavagna, Italy
Division of Cardiovascular Diseases, Department of Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota.
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Figure 1 A Proposed Syncope Management Model From Emergency Department to Hospital
*The 6-h ED syncope unit evaluation was examined and validated in the SEEDS study (9). The 24-h hospital syncope unit evaluation proposed here is primarily based on 2 factors. Within 24 h, the medical team should decide whether the patient will need to remain in the hospital for further evaluation/therapy or is ready for dismissal and outpatient management. When a hospital stay is <24 h, the patient can be managed under the "observational" status without "being admitted," thereby potentially reducing health care resource utilization. **The Syncope Management Unit was developed in strict adherence to the recommendations of the guidelines of the European Society of Cardiology (8) and validated in the EGSYS-2 studies (15,16). BP = blood pressure; ECG = electrocardiogram; ED = emergency department; ER = emergency room; ESC = European Society of Cardiology.
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