Abstract

The clarification of syncope is adiagnostic challenge as possible causes often occur only intermittently. Therefore, adetailed and standardized anamnesis is essential as it 1)differentiates syncope from other transient losses of consciousness (TLOC) and 2)directly clarifies possible causes of syncope. The risk stratification plays acentral and very important role in order to avoid unnecessary examinations in patients with benign syncope and to provide patients with life-threatening, mostly cardiac syncopal episodes with timely diagnostics and treatment. In cases where the cause of syncope is still unclear, astandardized approach is indicated using extended diagnostics, such as atilt table examination, acarotid sinus pressure test, prolonged telemetric monitoring or clarification with an implantable loop recorder (ILR).

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