Skip to main content Accessibility help

The Diagnosis of Syncope in the Elderly

  • Howard S. Frazier (a1)


Given a group of individuals presenting with syncope, the use of the standard diagnostic maneuvers will yield a diagnosis for approximately half. Promising new diagnostic tests offer the prospect of more efficient diagnostic pathways and treatments and demonstrate the need for better clinical trials before they are adopted.



Hide All
1.Adams, M. E., Antczak-Bouckoms, A., Frazier, H. S., et al. Assessing the effectiveness of ambulatory cardiac monitoring for specific clinical indications: Introduction. International Journal of Technology Assessment in Health Care, 1992, 9, 97101.
2.Bass, E. B., Curtis, E. I., Arena, V. C., et al. The duration of Holter monitoring in patients with syncope: Is 24 hours enough? Archives of Internal Medicine, 1990, 150, 1073–78.
3.Ben-Chetrit, E., Flugelman, M., & Eliakim, M.Syncope: A retrospective study of 101 hospitalized patients. Israel Journal of Medical Science, 1985, 21, 950–53.
4.Clark, P. I., Glasser, S. P., & Spoto, E. Jr., Arrhythmias detected by ambulatory monitoring. Lack of correlation with symptoms of dizziness and syncope. Chest, 1980, 77, 722–25.
5.Coplen, S. E., Antman, E. M., Berlin, J. A., et al. Efficacy and safety of quinidine therapy for maintenance of sinus rhythm after cardioversion. A meta-analysis of randomized control trials. Circulation, 1990, 82, 1106–16.
6.Cumbee, S. R., Pryor, R. E., & Linzer, M.Cardiac loop ECG recording: A new noninvasive diagnostic test in recurrent syncope. Southern Medical Journal, 1990, 83, 3943.
7.Day, S. C., Cook, E. F., Funkenstein, H., & Goldman, L.Evaluation and outcome of emergency room patients with transient loss of consciousness. American Journal of Medicine, 1982, 73, 1523.
8.Eagle, K. A., Black, H. R., Cook, E. F., & Goldman, L.Evaluation of prognostic classifications for patients with syncope. American Journal of Medicine, 1985, 79, 455–60.
9.Gibson, T. C., & Heitzman, M. R.Diagnostic efficacy of 24-hour electrocardiographic monitoring for syncope. American Journal of Cardiology, 1984, 53, 1013–17.
10.Glasser, S. P., Clark, P. I., & Applebaum, H. J.Occurrence of frequent complex arrhythmias detected by ambulatory monitoring. Findings in an apparently healthy asymptomatic elderly population. Chest, 1979, 75, 565–68.
11.Grubb, B. P., Temesy-Armos, P., Hahn, H., & Elliott, L.Utility of upright tilt-table testing in the evaluation and management of syncope of unknown origin. American Journal of Medicine, 1991, 90, 610.
12.Handelsman, H.Public health service assessment: Real-time cardiac monitors, 1989. Healt Technology Assessment Reports, No. 4. Washington. DC: National Center for Health Services Research and Health Care Technology Assessment, U. S. Department of Health and Human Services, Public Health Service, 1989.
13.Hine, L. K., Laird, N., Hewitt, P., & Chalmers, T. C.Meta-analytic evidence against prophylactic use of lidocaine in acute myocardial infarction. Archives of Internal Medicine, 1989, 149, 2694–98.
14.Kapoor, W. N.Evaluation of syncope in the elderly. Journal of the American Geriatric Society, 1987, 35, 826–28.
15.Kapoor, W. N.Evaluation and outcome of patients with syncope. Medicine, 1990, 69,160–75.
16.Kapoor, W. N.Diagnostic evaluation of syncope. American Journal of Medicine, 1991, 90, 91106.
17.Kapoor, W. N., Cha, R., Peterson, J. R., & Wieand, H. S.Prolonged electrocardiographic monitoring in patients with syncope. Importance of frequent or repetitive ventricular ectopy. American Journal of Medicine, 1987, 82, 2028.
18.Kapoor, W. N., Hammill, S. C, & Gersh, B. J.Diagnosis and natural history of syncope and the role of invasive electrophysiolgic testing. American Journal of Cardiology, 1989, 63, 731–34.
19.Kapoor, W. N., Karpf, M., Maher, Y., et al. Syncope of unknown origin. The need for a more cost-effective approach to its diagnostic evaluation. Journal of the American Medical Association, 1982, 247, 2687–91.
20.Kapoor, W. N., Karpf, M., Wieand, S., et al. A prospective evaluation and follow-up of patients with syncope. New England Journal of Medicine, 1983, 309, 197204.
21.Kapoor, W., Snustad, D., Peterson, J., et al. Syncope in the elderly. American Journal of Medicine, 1986, 80, 419–28.
22.Kligfield, P., Stein, K. M., & Herrold, E. M.Computer-assisted analysis of Holter recordings. Annals of the New York Academy of Sciences, 1990, 601, 353–69.
23.Kostis, J. B., McCrone, K., Moreyra, A. E., et al. The effect of age, blood pressure and gender on the incidence of premature ventricular contractions. Angiology, 1982, 07, 464–73.
24.Kushner, J., Kou, W., Kadish, A., & Morady, F.Natural history of patients with unexplained syncope and a nondiagnostic electrophysiologic study. Journal of the American College of Cardiology, 1989, 14, 391–96.
25.Linzer, M.Syncope: 1991. American Journal of Medicine, 1991, 90, 15.
26.Lipsitz, L. A., Pluchino, F. C, Wei, J. Y., & Rowe, J. W.Syncope in institutionalized elderly: The impact of multiple pathological conditions and situational stress. Journal of Chronic Diseases, 1986, 39, 619–30.
27.Lipsitz, L. A., Wei, J. Y., & Rowe, J. W.Syncope in an elderly institutionalized population: Prevalence, incidence and associated risk. Quarterly Journal of Medicine (New Series), 1985, 55, 4554.
28.Manolis, A. S., Linzer, M., Salem, D., & Estes, N. A. M. III. Syncope: Current diagnostic evaluation and management. Annals of Internal Medicine, 1990, 112, 850–63.
29.Mond, H. G.The bradyarrhythmias: Current indications for permanent pacing, parts I and II. PACE, 1981, 4, 432–42, 538–47.
30.Moss, A. J.Classifying and evaluating syncope. Geriatrics, 1978, 33, 103–14.
31.National Center for Health Statistics. Vital statistics of the U.S., 1987, vol. 2, sec. 6: Life tables. Washington, DC: Public Health Service, 1990.
32.Strasberg, B., Sagie, A., Rechavia, E., et al. The noninvasive evaluation of syncope of suspected cardiovascular origin. American Heart Journal, 1989, 117, 160–63.

The Diagnosis of Syncope in the Elderly

  • Howard S. Frazier (a1)


Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed