Syncope and Blackouts- April 2011


This   fact  sheet  provides   an  overview  of  recent   evidence   relevant  to  Syncope   and  Blackouts   and

information on how the “Outreach Librarian Service” can support you to keep up-to-date.


Selected Evidence

European Heart Journal 2009

European Society of Cardiology (ESC) Guidelines for the diagnosis and management of syncope

European Heart Journal: 30, 2631-2671

Map of Medicine Pathway (2008): Syncope or presyncope—suspected


Kenny, RA

Brocklehurst’s Textbook of Geriatric Medicine and Gerontology (Seventh Edition) 2010: 338-347


Guidelines on management, diagnosis and treatment of syncope (new 2009 version)

European Society of Cardiology. (Next review date July 2011)



Alshekhlee, A; Shen, WK; Mackall, J and Chelimsky, TC (2009)

Incidence and mortality rates of syncope in the United States

The American Journal of Medicine February 2009: 122(2) 181-188


Aslanger, E (2010)

An unusual electrocardiogram artifact in a patient with near syncope

Journal of Electrocardiology November 2010: 43(6) 686-8


Aydin, MA (2010)

Management and therapy of vasovagal syncope: A review

World of Cardiology 2010: October 26: 2(10) 308-315


Benditt, DG and Can, I (2010)

Initial evaluation of “Syncope and collapse”: The need for a risk stratification consensus

Journal of the American College of Cardiology 23 February 2010: 722—724


Benditt, DG and Nguyen, JT (2009)

Syncope: Therapeutic approaches

Journal of the American College of Cardiology 23 February 2009: 55(8) 1741– 1751


Cooke, J; Carew, S; Costello, A, Sheehy, T and Lyons, D (2008)

Recurrent loss of consciousness

BMJ 2008: 337(a2703)

Cooper, N (2009)

Blackout and collapse

Medicine, February 2009: 37(2) 65-69


Del Rosso, A; Ungar, A; Maggi, R; Giada, F (2008)

Clinical predictors of cardiac syncope at initial evaluation in patients referred urgently to a

general hospital: the EGYS score.

Heart, 2008, Dec: 94(12) 1620-6


Galizia, G; Testa, G; Mazzella, F, Cacciatore, F and Abete, P (2008)

Multidisciplinary approach to “accidental” falls in the elderly: a case report

Geriatrics & Gerentology International June 2008: 8(2) 130-2


Galizia, G; Abete, P; Mussi, C; Noro, G; Morrione, A and Ungar, A (2009)

Role of early symptoms in assessment of syncope in elderly people: results from the Italian

group for the study of syncope in the elderly

Journal of the American Geriatrics Society January 2009: 57(1) 18-23


Grossman, SA; Babineau, M; Burke, L; Kancharla, A and Mottley, L (2010)

Do outcomes of near syncope parallel syncope?

The American Journal of Emergency Medicine 24 December 2010


Grubb, NR and Boon, NA (2008)

Dizzy spells and syncope: Investigation and management

The Foundation Years 2008: 4(3) 117-123


Han, H and Santos, M (2010)

The fiscal burden of blackouts: The cost of investigating syncope

Heart, Lung and Circulation 2010: 19 Supplement 2 S226-S227


Jarvi, K; Osborn, N and Wall, N (2009)

An obstetric patient with neurocadiogenic syncope

International Journal of Obstetric Anesthesia October 2009: 18(4) 396-399


Jhanjee, R; Can, I and Benditt, DG (2009)


Disease-a-Month 2009: 55(9) 532-585


Kiblbock, C; Kammler, SW; Demmer, J and Leisch, F (2009)

Transient loss of consciousness and a heart murmur

BMJ 2009: 339(b23323)


Komatsu, K; Sumiyoshi, M; Abe, H; Kohno, R; Hayashi, H and Daida, H (2010)

Clinical characteristics of defecation syncope compared with micturition syncope

Circulation Journal February 2010: 74(2) 307-11


Kuo, FY; Hsaio, HC; Chiou, CW and Liu, CP (2008)

Recurrent syncope due to carotid sinus hypersensitivity and sick sinus syndrome

Journal of the Chinese Medical Association October 2008: 71(10) 532-535


Lee, H; Roh, S and Kim, DJ (2009)

Alcohol-Induced Blackout

International Journal Environmental Research Public Health. 2009: November, 6 (11) 2783-2792


Meyer, A (2009)

Transient loss of consciousness 1: causes and impact of misdiagnosis

Nursing Times March 2009: 105(8) 16-18


O’Dwyer, and Kenny, RA (2010)

Syncope clinics and the older adult

European Geriatric Medicine February 2010: 1(1) 41-44


Newton, JL; Marsh, A; Frith, J and Parry, S (2010)

Experience of a rapid access blackout service for older people

Age and Ageing 2010:39(2)265-268


Parry, SW; Steen, N; Baxton, RS; Tynan, M and Kenny, RA (2009)

Pacing in the elderly recurrent fallers with carotid sinus hypersensitivity: a randomized, double

blind, placebo controlled crossover trial

Heart March 2009: 95(5) 405-9


Perez-Jara, J; Enguix, A; Fernandez-Quintas, JM and Reyes-Ortiz, C (2009)

Fear of falling among elderly patients with dizziness and syncope in a tilt setting

Canadian Journal of Aging June 2009: 28(2) 157-63


Petkar, S; Fitzpatrick, A and Cooper, P (2008)

Transient loss of consciousness (excluding epilepsy)

Medicine 2008:36(10) 531-534


Perrenoud, JJ (2010)

Rythmic syncope

European Geriatric Medicine October 2010; 1(5) 296-305


Reed, MJ; Newby, DE; Coull, AJ; Prescott, RJ (2010)

The ROSE (risk stratification of syncope in the emergency department) study.

Journal of the American College of Cardiologists: 2010; Feb 23: 55(8) 722-4


Rodrigues, TR; Sternick, EB and Mda, Moreira (2010)

Epilepsy or Syncope? An analysis of 55 consecutive patients with loss of consciousness,

convulsions and no EEG abnormalities.

Pacing & Clinical Electrophysiology July 2010: 33(7) 804-13


Rombola, F (2010)

Bilateral striopallidodentate calcinosis (Fahr’s syndrome): an unusual cause of syncope

Minerva Medica October 2010: 101(5) 371


Romme, JJ; Van Dijk, N; Boer, KR; Bossuyt, PM (2009)

Diagnosing vasgoval syncope based on quantitative history-taking: validation of the Calgary

Syncope Symptom Score

European Heart Journal: 2009; Dec: 30(23) 2888-96


Sachpekidis, V; Vogiatzis, I; Dadous, G; Kanonidis, I and Sakadamis, G (2009)

Carotid sinus hypersensitivity is common in patients presenting with hip fracture and unex-

plained falls

Pacing & Clinical Electrophysiology September 2009: 32/9 (1184-90)


Sarrigiannis, PG; Randall, M; Kandler, RH; Grunewald, RA;     Harkness, K and Reuber, M


Stretch synscope: Reflex vasodepressor faints easily mistaken for epilepsy

Epilepsy and Behaviour 2011: 20(3) 450-453


Serrano, LA; Hess, EP; Bellolio, MF; Murad, MH (2010)

Accuracy and quality of clinical decision rules for syncope in the emergency department

Annals of Emergency Medicine, 2010 Oct. 56(4): 362-373

Solbiati, M; Angaroni, L; Constantino, G and Montano, N (2009)

Pacing in elderly recurrent fallers with carotid sinus hypersensitivity

Heart September 2009: 95(17) 1455; author reply

Sun, BC; Derose, SF; Liang, LJ, Gabayan, GZ and Hoffman, JR (2009)

Predictors of 30 day serious events in older patients with syncope

Annals of Emergency Medicine December 2009: 54(6) 769-778e5

Sutton, R; Brignole, M; Benditt, D and Moya, A (2010)

The diagnosis and management of syncope

Current Hypertension Reports October 2010: 12(5) 316-22

Thijs, RD; Bloem, BR and van Dijk, JG (2009)

Falls, faints, fits and funny turns

Journal of Neurology February 2009: 256(2) 155-67

Timoteo, AT; Oliveria, MM; Feliciano, J; da Silva, NM and Ferreira, R (2008)

Head-up tilt testing with different nitroglycerin dosages: experience in elderly patients with unex-

plained syncope

Europace September 2008: 10(9) 1091-4

Toorup, RJ; Scheltinga, MR; Bender, MH; Charbon, JA and Bruijninckx, CM (2009)

Effective surgical treatment of the carotid sinus syndrome

Journal of Cardiovascular Surgery, October 2009: 50(5) 683-6

Ungar, A; Morrione, A; Rafanelli, M; Ruffolo, E and Marchionni, N (2009)

The management of syncope in older adults

Minerva Medica August 2009: 100(4) 247-58

Vetta, F; Ronzoni, S; Costarella, M,; Donadio, C and Zuccaro, SM (2009)

Recurrent syncope in elderly patients and tilt test table outcome: the role of comorbidities

Archives of Gerontology & Geriatrics 2009: 49 Suppl. 1: 231-6


How can I help you?

Literature search service

I can offer an expert, in-depth literature search service to help you locate the evidence on any health

related topic.


If you want to learn to navigate the wealth of available online healthcare information and how to search

databases more effectively, the ‘Trust trainer’ can offer timetabled hands-on training sessions or can

provide customised one-to-one support. Telephone: 0121 424 0583 or email:

[email protected]

Current awareness services

If you need to keep up-to-date on a particular topic I can advise on suitable RSS feeds and help you set up

article alerts from the major healthcare databases.

Online resources

Whilst   many   good    quality   resources    are   freely  available,    most   full-text   journals    and   the   main

bibliographic    databases   (e.g.   Medline    and   CINAHL)   require   an   Athens   username   and   password.

To register for an Athens login go to

The Library web pages contain detailed information about library services and training opportunities, online

request and registration forms and several guides on key online resources and evidence-based websites



The Outreach Librarian is located in the education centre at Heartlands Hospital, on the first floor, next to

the Library.