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
http://healthguides.mapofmedicine.com/
Books
Kenny, RA
Brocklehurst’s Textbook of Geriatric Medicine and Gerontology (Seventh Edition) 2010: 338-347
Guidelines
Guidelines on management, diagnosis and treatment of syncope (new 2009 version)
European Society of Cardiology. (Next review date July 2011) www.escardio.org/
Articles
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)
Syncope
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
(2011)
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.
Training
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:
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 www.athens.nhs.uk
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
Contact
The Outreach Librarian is located in the education centre at Heartlands Hospital, on the first floor, next to
the Library.