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Abstract: Poster Presentations |

THE USE OF RADIOLOGICAL IMAGING IN THE INITIAL WORKUP OF SYNCOPE FREE TO VIEW

M. Shubair, MD; N. Jallad, MD; H. Aziz, MD; M. Ismail, MD*; M.A. Khan, MD
Author and Funding Information

St. Joseph’s Regional Medical Center, Paterson, NJ


Chest


Chest. 2005;128(4_MeetingAbstracts):285S. doi:10.1378/chest.128.4_MeetingAbstracts.285S-b
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Abstract

PURPOSE:  To evaluate the workup of patients admitted to the hospital with syncope and to evaluate that clinical practice guidelines for syncope were followed.

METHODS:  We retrospectively reviewed medical records of 104 patients (50 males, 54 females, age range 23-93; mean age 63.8 yrs) with the principal diagnosis of syncope over a period of 6 months and examined their initial diagnostic workup including CT-head and carotid Doppler ultrasound.

RESULTS:  Only one patient had focal neurological deficit on initial presentation. Both his carotid ultrasound and CT-head were abnormal. 55 (52.8%) patients had carotid doppler ultrasound and 62 (59.6%) patients had CT-head despite normal physical examination; both tests were normal.

CONCLUSION:  These data suggest that the use of imaging studies in the evaluation of syncope has a low diagnostic yield. Careful history, and physical examination should help guide diagnostic testing.

CLINICAL IMPLICATIONS:  The use of published clinical guidelines for syncope is a good tool for the diagnostic workup. Patients with no focal neurologic deficit on physical examination are unlikely to benefit from radiological imaging.

DISCLOSURE:  M. Ismail, None.

Wednesday, November 2, 2005

12:30 PM - 2:00 PM


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