Updated Guideline Recommendations for the Definitive Diagnosis of Unexplained Syncope

What Is Syncope?

Classification of Syncope

Pathophysiology of Syncope

Initial Evaluation and Risk Stratification of Patients With Syncope

Initial Evaluation: Syncopal Event

Initial Evaluation: Past Medical History

Initial Evaluation: Physical Examination

Initial Evaluation: Electrocardiogram

ED Syncope Risk Stratification

Cardiac Causes of Syncope Warranting Further Hospital Evaluation

Diagnostic Work-Up for Unclear Initial Evaluation

Implantable Loop Recorder Recommendations

Patient Scenario: When to Use ICD

When to Use ILR?

When to Use ILR? (cont)

When to Use ILR? (cont)

Studies That Led to Revised Guidelines

Studies That Led to Revised Guidelines (cont)

Studies That Led to Revised Guidelines (cont)

Diagnostic Criteria For Syncope-ILR

Cost-Effectiveness of ILR (PICTURE Registry)

TLOC-Suspected Syncope Algorithm

Patient Scenario

Patient Scenario (cont)

Conclusion

Abbreviations

Abbreviations (cont)

Abbreviations (cont)