Pearls and Pitfalls in the Management of Syncope

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Sunday, April 3, 12:30-1:45 PM

Syncope can be a challenge to manage. Many times, these patients will undergo dozens of tests without a definitive diagnosis. Last year, there was a ray of hope in the EP community when researchers from the PICTURE trial found that an implantable loop recorder was able to diagnose syncope – many of which had a cardiovascular origin.

The patients in the study had an average of 13 prior tests before the loop recorder was used. "When these intermittent syncope attacks come, you have stored ECG data so that you have a correlation between symptoms and the rhythm that was actually present," said lead author Nils Edvardsson, MD.

Another problem with syncope is that patients often will go to a number of physicians before they finally see a cardiologist. In this "Lunch With the Experts" sessions, cardiologists can review the latest data on syncope and then help to educate referring physicians that perhaps the first course of action for such patients is to send to a cardiologist.

Speaker Information

  • Mandeep Bhargava, MD, Cleveland Clinic -- Case Presenter
  • Blair P. Grubb, MD, University of Toledo Medical Center, Ohio -- Panelist
  • Suneet Mittal, MD, St. Luke's-Roosevelt Hospital Center, New York City -- Panelist
  • Robert S. Sheldon, MD, University of Calgary, Alberta -- Panelist
  • Richard Sutton, DScMed, Royal Brompton Hospital, London -- Panelist