Guidelines for the diagnosis and management of syncope (version 2009)

The first ESC Guidelines for the management of syncope, were published in 2001, and reviewed in 2004.1 In March 2008, the CPG considered that there were enough new data to justify production of new guidelines.

The most relevant changes are listed here:

† An update of the classification of syncope in the larger framework of transient loss of consciousness (T-LOC).

† New data on epidemiology.

† A new diagnostic approach focusing on risk stratification of sudden cardiac death (SCD) and cardiovascular events after initial evaluation, including some recommendations for treatment in patients with unexplained syncope at high risk.

† Emphasis on the increasing role of a diagnostic strategy based on prolonged monitoring in contrast to the conventional strategy based on laboratory testing.

† An update of evidence-based therapy.

Rapporten er fremlagt til diskussion på DCS årsmøde 2010.

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