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Liang Y, Li X, Tse G, King E, Roever L, Li G, Liu T. Syncope Prediction Scores in the Emergency Department. Curr Cardiol Rev 2022; 18:1-7. [PMID: 35319380 PMCID: PMC9896417 DOI: 10.2174/1573403x18666220321104129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/20/2021] [Revised: 12/03/2021] [Accepted: 01/10/2022] [Indexed: 11/22/2022] Open
Abstract
Syncope is a common clinical presentation defined as a transient loss of consciousness (TLOC) due to cerebral hypoperfusion, characterized by a rapid onset, short duration, and spontaneous complete recovery. Different clinical decision rules (CDRs) and risk stratification scores have been developed to predict short- and long-term risks for adverse outcomes after syncope. The central theme of these prediction systems is consistent with the ESC syncope guidelines. Initial assessment according to the ESC guideline is essential until an optimal and well-validated risk score is available. The focus should be accurate risk stratification to allow prevention of adverse outcomes and optimize the use of limited healthcare resources. In this review article, we summarize and critically appraise the evidence regarding the CDRs for patients presenting with syncope.
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Affiliation(s)
- Yan Liang
- Department of Cardiology, Tianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease, Tianjin Institute of Cardiology, Second Hospital of Tianjin Medical University, Pingjiang Road, Hexi District, Tianjin 300211, People’s Republic of China
| | - Xiulian Li
- Department of Cardiology, Tianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease, Tianjin Institute of Cardiology, Second Hospital of Tianjin Medical University, Pingjiang Road, Hexi District, Tianjin 300211, People’s Republic of China
| | - Gary Tse
- Department of Cardiology, Tianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease, Tianjin Institute of Cardiology, Second Hospital of Tianjin Medical University, Pingjiang Road, Hexi District, Tianjin 300211, People’s Republic of China
- Cardiovascular Analytics Group, Laboratory of Cardiovascular Physiology, Hong Kong, China
| | - Emma King
- Department of Cardiology, Tianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease, Tianjin Institute of Cardiology, Second Hospital of Tianjin Medical University, Pingjiang Road, Hexi District, Tianjin 300211, People’s Republic of China
- Cardiovascular Analytics Group, Laboratory of Cardiovascular Physiology, Hong Kong, China
| | | | - Guangping Li
- Department of Cardiology, Tianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease, Tianjin Institute of Cardiology, Second Hospital of Tianjin Medical University, Pingjiang Road, Hexi District, Tianjin 300211, People’s Republic of China
| | - Tong Liu
- Department of Cardiology, Tianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease, Tianjin Institute of Cardiology, Second Hospital of Tianjin Medical University, Pingjiang Road, Hexi District, Tianjin 300211, People’s Republic of China
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Mora Pabón G. Research on heart failure in Colombia, time to take a step forward. REVISTA DE LA FACULTAD DE MEDICINA 2018. [DOI: 10.15446/revfacmed.v66n2.70828] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Las enfermedades cardiovasculares son la primera etiología de mortalidad en el mundo. En Colombia, según datos del Ministerio de Salud, la enfermedad isquémica cardiaca es la primera causa de muerte, mientras que el accidente cerebrovascular, la diabetes y la enfermedad hipertensiva hacen parte de las primeras diez fuentes de mortalidad (1,2). Casi cualquier patología que afecte el corazón puede llevar a falla cardiaca (FC); sin embargo, la causa más común en el mundo es la cardiopatía isquémica.En el período 1998-2011 las enfermedades cardiovasculares dieron cuenta del 23.5% de todas las muertes del país; de estas, la enfermedad isquémica cardiaca produjo el 56.3%. Estos datos evidenciaron una tasa de mortalidad promedio de 104.6 muertes cardiovasculares por cada 100 000 habitantes al año (3). En Colombia, en un estudio que reunió 4 239 pacientes de clínicas de falla cardiaca, la etiología isquémica fue la más prevalente (38.7%), seguida por la cardiomiopatía dilatada idiopática (21.6%) y luego otras causas menos prevalentes como valvulopatías (10.5%), cardiopatía chagásica (10.3%) y cardiopatía hipertensiva (12.2%) (4).
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