Int J Arrhythm.  2018 Jun;19(2):145-185. 10.18501/arrhythmia.2018.010.

2018 KHRS guideline for the evaluation and management of syncope: Part 2

• Kim YR
• Chun KJ
• Kim JS
• Mun HS
• Park J
• Seo DW
• Song MK
• Ahn J
• Yoon H
• Lee DI
• Lee YS
• Cha MJ
• Bae EJ
• Kim DH

• KMID: 2418776
• DOI: http://doi.org/10.18501/arrhythmia.2018.010

Abstract

The general concept and initial approach to syncope patients has been mentioned in the general sections. This special sections have been described the characteristics, diagnosis, and treatment with patient education for the each syncope. It has been described in order of reflex syncope, orthostatic hypotension, postural orthostatic tachycardia syndrome (POTS), cardiac syncope, and unexplained syncope. Several clinical issues will have been dealt with in special issues. Neurological assessment is added when the patients were diagnosed with psychogenic pseudosyncope (PPS). Although many childhood syncope caused by reflex syncope, they are also presented as syncope caused by arrhythmic events in patients with congenital heart disease. In the elderly patients, syncope is because of not only a single cause of syncope but a combination of various conditions. In case of a syncope patient visiting the emergency department, a standardized systematic approach will be required to determine whether hospitalize the patient according to the risk of recurrence and the needs for the syncope management unit. We also mention recommendations on the limits of driving, exercising and social life style that are relevant to syncope in all patients. In this guideline, we reviewed the Korean published literatures and European/American guidelines on syncope. We, writing and publishing committee for evaluation and management guidelines of syncope in the Korean Society for Holter and Noninvasive Electrocardiography (KSHNE) under the Korean Heart Rhythm Society (KHRS) are very pleased to be able to publish this guideline. We also hope this guideline will be a good support to manage the syncope patients and a useful trigger for further research in Korea.

MeSH Terms

Aged
Diagnosis
Electrocardiography
Emergency Service, Hospital
Heart
Heart Defects, Congenital
Hope
Humans
Hypotension, Orthostatic
Korea
Life Style
Patient Education as Topic
Postural Orthostatic Tachycardia Syndrome
Recurrence
Reflex
Syncope*
Writing