Role of early symptoms in assessment of syncope in elderly people: Results from the Italian group for the study of syncope in the elderly

Journal of the American Geriatrics Society

Volumn 57, Issue 1, 2009, Pages 18-23

  Galizia, Galizia ^a   Abete, Pasquale ^a   Mussi, Chiara ^b   Noro, Gabriele ^c   Morrione, Alessandro ^d   Langellotto, Assunta ^a   Landi, Annalisa ^d   Cacciatore, Francesco ^e   Masotti, Giulio ^d   Rengo, Franco ^a,e   Marchionni, Niccolò ^d   Ungar, Andrea ^d  

^a UNIVERSITY OF NAPLES FEDERICO II   (Italy)

^b UNIVERSITY OF MODENA AND REGGIO EMILIA   (Italy)

^c SANTA CHIARA HOSPITAL   (Italy)

^d CAREGGI UNIVERSITY HOSPITAL   (Italy)

^e IRCCS   (Italy)

Author keywords

Cardiac; Early symptoms; Noncardiac; Syncope

Indexed keywords

AGED; ARTICLE; AWARENESS; BLURRED VISION; CLINICAL ASSESSMENT; CLINICAL EVALUATION; DYSPNEA; FEMALE; GERIATRIC PATIENT; HOSPITAL PATIENT; HUMAN; INTERVIEW; ITALY; MAJOR CLINICAL STUDY; MALE; NAUSEA; OBSERVATIONAL STUDY; OUTPATIENT DEPARTMENT; PATIENT ASSESSMENT; PATIENT REFERRAL; PRACTICE GUIDELINE; PREDICTION; PREVALENCE; SENSITIVITY AND SPECIFICITY; SWEATING; SYMPTOMATOLOGY; SYNCOPE; UNCONSCIOUSNESS; WEAKNESS;

AGE FACTORS; AGED; AGED, 80 AND OVER; CROSS-SECTIONAL STUDIES; FEMALE; GERIATRIC ASSESSMENT; HUMANS; MALE; SYNCOPE;

EID: 58149260453     PISSN: 00028614     EISSN: 15325415     Source Type: Journal    
DOI: 10.1111/j.1532-5415.2008.02070.x     Document Type: Article

References (22)

1. Soteriades ES, Evans JC, Larson MG et al. Incidence and prognosis of syncope. N Engl J Med 2002 347 : 878 885.
2. Farrehi PM, Santinga JT, Eagle KA. Syncope: Diagnosis of cardiac and noncardiac causes. Geriatrics 1995 50 : 24 30.
3. Linzer M, Yang EH, Estes MI et al. Diagnosing syncope Part 1: Value of history, physical examination, and electrocardiography. Ann Intern Med 1997 126 : 989 996.
4. Brignole M, Alboni P, Benditt DG et al. Task force on syncope, European society of cardiology. Guidelines on management (diagnosis and treatment) of syncope - update 2004. Executive summary. Eur Heart J 2004 25 : 2054 2072.
5. Calkins H, Shyr Y, Frumin H et al. The value of the clinical history in the differentiation of syncope due to ventricular tachycardia, atrioventricular block, and neurocardiogenic syncope. Am J Med 1995 98 : 365 373.
6. Del Rosso A, Alboni P, Brignole M et al. Relation of clinical presentation of syncope to the age of patients. Am J Cardiol 2005 96 : 1431 1435.
7. Kadri N, Chassagne P, Benichou J et al. The value of clinical characteristics from a standard questionnaire to discriminate cardiac from neurological syncope in the elderly. J Nutr Health Aging 2006 10 : 546 553.
8. Ungar A, Mussi C, Del Rosso A et al. for the Italian Group for the Study of Syncope in the Elderly. Diagnosis and characteristics of syncope in older patients referred to geriatric departments. J Am Geriatr Soc 2006 54 : 1531 1536.
9. Folstein MF, Folstein SE, McHugh PR. 'Mini-mental state'. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975 12 : 189 198.
10. Katz S, Ford AB. Study of illness in the aged. The index of ADL. A standardized measure of biological and psychosocial function. JAMA 1963 185 : 914 919.
11. Linn BS, Linn MW, Gurel L. Cumulative illness rating scale. J Am Geriatr Soc 1968 16 : 622 626.
12. Yesavage JA, Brink TL, Rose TL et al. Development and validation of a geriatric depression screening scale: A preliminary report. J Psychiatr Res 1982 17 : 37 49.
13. Richardson DA, Shaw FE, Bexton R et al. Presence of a carotid bruit in adults with unexplained or recurrent falls: Implications for carotid sinus massage. Age Ageing 2002 31 : 379 384.
14. Alboni P, Brignole M, Menozzi C et al. Clinical spectrum of neurally mediated reflex syncopes. Europace 2004 6 : 55 62.
15. Graham LA, Kenny RA. Clinical characteristics of patients with vasovagal reactions presenting as unexplained syncope. Europace 2001 3 : 141 146.
16. Kapoor WN, Karpf M, Wieand S et al. A prospective evaluation and follow-up of patients with syncope. N Engl J Med 1983 309 : 197 204.
17. Colman N, Nahm K, Ganzeboom KS et al. Epidemiology of reflex syncope. Clin Auton Res 2004 14 (Suppl 1) : I/;9 I/;17.
18. Maisel WH, Stevenson WG. Syncope - getting to the heart of the matter. N Engl J Med 2002 347 : 931 933.
19. Kenny RA. Syncope in the elderly: Diagnosis, evaluation, and treatment. J Cardiovasc Electrophysiol 2003 14 (9 Suppl) : S74 S77.
20. Parry SW, Steen IN, Baptist M et al. Amnesia for loss of consciousness in carotid sinus syndrome: Implications for presentation with falls. J Am Coll Cardiol 2005 45 : 1840 1843.
21. Grossman SA, Van Epp S, Arnold R et al. The value of cardiac enzymes in elderly patients presenting to the emergency department with syncope. J Gerontol A Biol Sci Med Sci 2003 58 : 1055 1058.
22. Cosgriff TM, Kelly AM, Kerr D. External validation of the San Francisco Syncope Rule in the Australian context. CJEM 2007 9 : 157 161.