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Is neuroimaging necessary to evaluate syncope?

Erika Hutt-Centeno, MD, Robert Wilson, DO and Kenneth A. Mayuga, MD, FHRS, FACC, FACP
Cleveland Clinic Journal of Medicine April 2019, 86 (4) 240-242; DOI: https://doi.org/10.3949/ccjm.86a.18016

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Tables

  • TABLE 1

    Criteria for high cardiac risk in syncope

    Severe structural or coronary artery disease
    Heart failure
    Previous myocardial infarction
    Left ventricular outflow tract obstruction
    Clinical or electrocardiographic signs of arrhythmic syncope
    Syncope during exertion or when supine
    Palpitations at time of syncope
    Family history of sudden cardiac death
    Nonsustained ventricular tachycardia
    Bifascicular block or intraventricular conduction
    abnormality with QRS complex > 120 seconds
    Inadequate sinus bradycardia or sinoatrial block
    Pre-excited QRS
    Prolonged or short QT interval
    Right bundle branch block with Brugada pattern (ST-segment elevation in V1 –V3)
    Negative T waves in precordial leads, epsilon wave, and ventricular late potentials suggestive of arrhyth mogenic right ventricular cardiomyopathy
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