Emergency Med Medical News about Calgary Syncope Symptom Score, vasovagal syncope, transient loss of consciousness

Become a Member Today!
Register

Most Viewed Abstracts

1. Report Shows Shift in Starting Salaries for Physicians

2. Use of Antiemetic Agents in Acute Gastroenteritis

3. 2008 Exclusive Survey—Earnings: Good news for primary care income

4. Medicare pay-for-reporting effort draws fire from frustrated doctors

5. Debunking Myths in the US Healthcare System

Your Article Summary

See Latest Articles

(Click the title below to leave the MDLinx Network and go to the Journal's Website)

Diagnosing vasovagal syncope based on quantitative history-taking: Validation of the Calgary Syncope Symptom Score
European Heart Journal, 08/21/09

Romme JJCM et al. – The sensitivity of the Calgary Score was comparable with the score in the original study, but its specificity was much lower, limiting its value in pts presenting with transient loss of consciousness (T-LOC) in a general hospital setting.

Methods

Calgary Syncope Symptom Score (Calgary Score) tool to distinguish vasovagal syncope, the most common cause of T-LOC, from other causes of syncope by history taking
Study of the Calgary Score performance in a series of pts presenting with T-LOC
Calculation of the Calgary Score for 380 pts presenting with T-LOC
Comparison of diagnoses of vasovagal syncope based on Calgary Score with the final diagnosis, obtained after additional testing and 2 yrs of follow-up

Results

Calgary Score sensitivity 87%; specificity 32%
Most Calgary Score items less discriminative in this study group vs original population
Incorrect label of pts with syncope as vasovagal: most common in pts with psychogenic pseudosyncope (specificity 21%) but also in pts with cardiac syncope (specificity 32%)

Next >>
H1N1 Vaccine Production Lagging Behind Expectations. Limited...

Increased phase synchronization and decreased cerebral autoregulation during fainting in the young
Heart And Circulatory Physiology, 10/23/09 Relevance Score: 93%

Poor medication history plus slow symptom onset delays a diagnosis
JAAPA, 10/20/09 Relevance Score: 93%

Blood pressure oscillations during tilt testing as a predictive marker of vasovagal syncope
Europace, 11/17/09 Relevance Score: 90%

Neurally Mediated Syncope as a Cause of Syncope in Patients with Brugada Electrocardiogram
Journal of Cardiovascular Electrophysiology, 10/01/09 Relevance Score: 90%

Symptomatic and functional outcome in youth at ultra-high risk for psychosis: A longitudinal study
Schizophrenia Research, 10/01/09 Relevance Score: 88%