2018 KHRS guideline for the evaluation and management of syncope: Part 2
10.18501/arrhythmia.2018.010
- Author:
Yoo Ri KIM
;
Kwang Jin CHUN
;
June Soo KIM
;
Hee Sun MUN
;
Junbeom PARK
;
Dae Won SEO
;
Mi Kyoung SONG
;
Jinhee AHN
;
Hee YOON
;
Dae In LEE
;
Young Soo LEE
;
Myung jin CHA
;
Eun Jung BAE
;
Dae Hyeok KIM
- Publication Type:Review
- MeSH:
Aged;
Diagnosis;
Electrocardiography;
Emergency Service, Hospital;
Heart;
Heart Defects, Congenital;
Hope;
Humans;
Hypotension, Orthostatic;
Korea;
Life Style;
Patient Education as Topic;
Postural Orthostatic Tachycardia Syndrome;
Recurrence;
Reflex;
Syncope;
Writing
- From:International Journal of Arrhythmia
2018;19(2):145-185
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The general concept and initial approach to syncope patients has been mentioned in the general sections. This special sections have been described the characteristics, diagnosis, and treatment with patient education for the each syncope. It has been described in order of reflex syncope, orthostatic hypotension, postural orthostatic tachycardia syndrome (POTS), cardiac syncope, and unexplained syncope. Several clinical issues will have been dealt with in special issues. Neurological assessment is added when the patients were diagnosed with psychogenic pseudosyncope (PPS). Although many childhood syncope caused by reflex syncope, they are also presented as syncope caused by arrhythmic events in patients with congenital heart disease. In the elderly patients, syncope is because of not only a single cause of syncope but a combination of various conditions. In case of a syncope patient visiting the emergency department, a standardized systematic approach will be required to determine whether hospitalize the patient according to the risk of recurrence and the needs for the syncope management unit. We also mention recommendations on the limits of driving, exercising and social life style that are relevant to syncope in all patients. In this guideline, we reviewed the Korean published literatures and European/American guidelines on syncope. We, writing and publishing committee for evaluation and management guidelines of syncope in the Korean Society for Holter and Noninvasive Electrocardiography (KSHNE) under the Korean Heart Rhythm Society (KHRS) are very pleased to be able to publish this guideline. We also hope this guideline will be a good support to manage the syncope patients and a useful trigger for further research in Korea.
