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European Heart Journal Advance Access originally published online on November 24, 2005
European Heart Journal 2006 27(3):253-254; doi:10.1093/eurheartj/ehi663
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© The European Society of Cardiology 2005. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Evidence-based common sense: the role of clinical history for the diagnosis of vasovagal syncope

Carlos A. Morillo*

Syncope and Autonomic Disorder Unit, Department of Medicine, Arrhythmia Service-Cardiology Division, McMaster University, HGH-McMaster Clinic 5th Floor, 237 Barton Street East, Hamilton, ON, Canada L8L 2X2

* Corresponding author. Tel: +1 905 577 8004; fax: +1 905 521 8820. E-mail address: morillo@hhsc.ca or morillc@mcmaster.ca

This editorial refers to ‘Diagnostic criteria for vasovagal syncope based on a quantitative history’{dagger} by R. Sheldon et al., on page 344

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In the present article a form of fainting is described for which the term ‘vasovagal syncope’ will be found most appropriate

Sir Thomas Lewis, 1932

Syncope is a frequent clinical manifestation and represents ~1–2% of emergency room visits and frequently leads to hospital admission and expensive and frequently unnecessary diagnostic tests.1,2 The cause of syncope is frequently reflex mediated, and particularly vasovagal responses closely followed by orthostatic hypotension and drug-induced syncope are the main causes.3 By and large, the prognosis of patients with vasovagal syncope is benign; however, quality of life may be severely affected in a . . . [Full Text of this Article]


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Related articles in EHJ:

Diagnostic criteria for vasovagal syncope based on a quantitative history
Robert Sheldon, Sarah Rose, Stuart Connolly, Debbie Ritchie, Mary-Lou Koshman, Michael Frenneaux, and for the Syncope Symptom Study Investigators
EHJ 2006 27: 344-350. [Abstract] [Full Text]