The ACCF/AHA scientific statement on syncope: A document in need of thoughtful revision

D. G. Benditt; Wouter Wieling; Brian Olshansky; Haruhiko Abe; Paolo Alboni; Dietrich Andresen; Felicia B. Axelrod; Eduardo Bennaroch; Lennart Bergfeldt; Jean Jacques Blanc; Michele Brignole; A. John Camm; Thomas Chelimsky; Pietro Cortelli; J. Gert Van Dijk; Nynke Van Dijk; Murray Esler; Adam Fitzpatrick; Fetnat Fouad-Tarazi; Roy Freeman; MaryAnn Goldstein; Blair Grubb; Bengt Herweg; Max J. Hilz; Giris Jacob; David Jardine; Jens Jordan; Michael J. Joyner; Wishwa Kapoor; Horacio Kaufmann; Rose Anne Kenny; Andrew Krahn; Chu Pak Lau; Benjamin D. Levine; Johannes J. Van Lieshout; Lewis Lipsitz; Philip Low; Keith G. Lurie; Marek Malik; Christopher J. Mathias; Angel Moya; Satish R. Raj; Antonio Raviele; Sanjeev Saksena; Francois P. Sarasin; Philip J. Saul; Ronald Schondorf; Jean Michel Senard; Robert Sheldon; Win Kuang Shen; Jasbir Sra; John Stephenson; Julian M. Stewart; Richard Sutton; Hidetaka Tanaka; George Theodorakis; Roland D. Thijs; Andrea Ungar; A. A M Wilde

doi:10.1007/s10286-006-0370-3

The ACCF/AHA scientific statement on syncope: A document in need of thoughtful revision

D. G. Benditt, Wouter Wieling, Brian Olshansky, Haruhiko Abe, Paolo Alboni, Dietrich Andresen, Felicia B. Axelrod, Eduardo Bennaroch, Lennart Bergfeldt, Jean Jacques Blanc, Michele Brignole, A. John Camm, Thomas Chelimsky, Pietro Cortelli, J. Gert Van Dijk, Nynke Van Dijk, Murray Esler, Adam Fitzpatrick, Fetnat Fouad-Tarazi, Roy FreemanMaryAnn Goldstein, Blair Grubb, Bengt Herweg, Max J. Hilz, Giris Jacob, David Jardine, Jens Jordan, Michael J. Joyner, Wishwa Kapoor, Horacio Kaufmann, Rose Anne Kenny, Andrew Krahn, Chu Pak Lau, Benjamin D. Levine, Johannes J. Van Lieshout, Lewis Lipsitz, Philip Low, Keith G. Lurie, Marek Malik, Christopher J. Mathias, Angel Moya, Satish R. Raj, Antonio Raviele, Sanjeev Saksena, Francois P. Sarasin, Philip J. Saul, Ronald Schondorf, Jean Michel Senard, Robert Sheldon, Win Kuang Shen, Jasbir Sra, John Stephenson, Julian M. Stewart, Richard Sutton, Hidetaka Tanaka, George Theodorakis, Roland D. Thijs, Andrea Ungar, A. A M Wilde

Research output: Contribution to journal › Review article › peer-review

8 Scopus citations

Abstract

The American College of Cardiology Foundation (ACCF) and the American Heart Association (AHA) have recently published, in both the Journal of the American College of Cardiology (JACC) and Circulation, a Scientific Statement on the Evaluation of Syncope ('Statement'). This Scientific Statement was commissioned to provide guidance for clinicians regarding the evaluation of patients who present with 'syncope'. The Statement was not intended to be a formal set of practice guidelines. However, in the absence of generally accepted practice guidelines in North America, the Statement's potential impact on clinical care may be more far-reaching than expected; it may erroneously be considered to be the authoritative 'de-facto' guideline document. This commentary, submitted by a multidisciplinary consortium of more than 60 physicians with expertise in the management of transient loss of consciousness (TLOC), points out that in many respects the ACCF/AHA Syncope Statement fails to address long-standing clinical errors associated with the evaluation of episodes of apparent TLOC, including syncope. If not appropriately revised, the current Statement may lead to both inadequate patient care as well as a potentially damaging legal environment for physicians undertaking evaluation of patients who present with transient loss of consciousness.

Original language	English (US)
Pages (from-to)	363-368
Number of pages	6
Journal	Clinical Autonomic Research
Volume	16
Issue number	6
DOIs	https://doi.org/10.1007/s10286-006-0370-3
State	Published - Dec 2006

Keywords

Consensus
Diagnosis
Evaluation
Management
Practice guidelines
Syncope

ASJC Scopus subject areas

Endocrine and Autonomic Systems
Clinical Neurology

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10.1007/s10286-006-0370-3

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Benditt, D. G., Wieling, W., Olshansky, B., Abe, H., Alboni, P., Andresen, D., Axelrod, F. B., Bennaroch, E., Bergfeldt, L., Blanc, J. J., Brignole, M., Camm, A. J., Chelimsky, T., Cortelli, P., Van Dijk, J. G., Van Dijk, N., Esler, M., Fitzpatrick, A., Fouad-Tarazi, F., ... Wilde, A. A. M. (2006). The ACCF/AHA scientific statement on syncope: A document in need of thoughtful revision. Clinical Autonomic Research, 16(6), 363-368. https://doi.org/10.1007/s10286-006-0370-3

Benditt, DG, Wieling, W, Olshansky, B, Abe, H, Alboni, P, Andresen, D, Axelrod, FB, Bennaroch, E, Bergfeldt, L, Blanc, JJ, Brignole, M, Camm, AJ, Chelimsky, T, Cortelli, P, Van Dijk, JG, Van Dijk, N, Esler, M, Fitzpatrick, A, Fouad-Tarazi, F, Freeman, R, Goldstein, M, Grubb, B, Herweg, B, Hilz, MJ, Jacob, G, Jardine, D, Jordan, J, Joyner, MJ, Kapoor, W, Kaufmann, H, Kenny, RA, Krahn, A, Lau, CP, Levine, BD, Van Lieshout, JJ, Lipsitz, L, Low, P, Lurie, KG, Malik, M, Mathias, CJ, Moya, A, Raj, SR, Raviele, A, Saksena, S, Sarasin, FP, Saul, PJ, Schondorf, R, Senard, JM, Sheldon, R, Shen, WK, Sra, J, Stephenson, J, Stewart, JM, Sutton, R, Tanaka, H, Theodorakis, G, Thijs, RD, Ungar, A & Wilde, AAM 2006, 'The ACCF/AHA scientific statement on syncope: A document in need of thoughtful revision', Clinical Autonomic Research, vol. 16, no. 6, pp. 363-368. https://doi.org/10.1007/s10286-006-0370-3

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title = "The ACCF/AHA scientific statement on syncope: A document in need of thoughtful revision",

abstract = "The American College of Cardiology Foundation (ACCF) and the American Heart Association (AHA) have recently published, in both the Journal of the American College of Cardiology (JACC) and Circulation, a Scientific Statement on the Evaluation of Syncope ('Statement'). This Scientific Statement was commissioned to provide guidance for clinicians regarding the evaluation of patients who present with 'syncope'. The Statement was not intended to be a formal set of practice guidelines. However, in the absence of generally accepted practice guidelines in North America, the Statement's potential impact on clinical care may be more far-reaching than expected; it may erroneously be considered to be the authoritative 'de-facto' guideline document. This commentary, submitted by a multidisciplinary consortium of more than 60 physicians with expertise in the management of transient loss of consciousness (TLOC), points out that in many respects the ACCF/AHA Syncope Statement fails to address long-standing clinical errors associated with the evaluation of episodes of apparent TLOC, including syncope. If not appropriately revised, the current Statement may lead to both inadequate patient care as well as a potentially damaging legal environment for physicians undertaking evaluation of patients who present with transient loss of consciousness.",

keywords = "Consensus, Diagnosis, Evaluation, Management, Practice guidelines, Syncope",

author = "Benditt, {D. G.} and Wouter Wieling and Brian Olshansky and Haruhiko Abe and Paolo Alboni and Dietrich Andresen and Axelrod, {Felicia B.} and Eduardo Bennaroch and Lennart Bergfeldt and Blanc, {Jean Jacques} and Michele Brignole and Camm, {A. John} and Thomas Chelimsky and Pietro Cortelli and {Van Dijk}, {J. Gert} and {Van Dijk}, Nynke and Murray Esler and Adam Fitzpatrick and Fetnat Fouad-Tarazi and Roy Freeman and MaryAnn Goldstein and Blair Grubb and Bengt Herweg and Hilz, {Max J.} and Giris Jacob and David Jardine and Jens Jordan and Joyner, {Michael J.} and Wishwa Kapoor and Horacio Kaufmann and Kenny, {Rose Anne} and Andrew Krahn and Lau, {Chu Pak} and Levine, {Benjamin D.} and {Van Lieshout}, {Johannes J.} and Lewis Lipsitz and Philip Low and Lurie, {Keith G.} and Marek Malik and Mathias, {Christopher J.} and Angel Moya and Raj, {Satish R.} and Antonio Raviele and Sanjeev Saksena and Sarasin, {Francois P.} and Saul, {Philip J.} and Ronald Schondorf and Senard, {Jean Michel} and Robert Sheldon and Shen, {Win Kuang} and Jasbir Sra and John Stephenson and Stewart, {Julian M.} and Richard Sutton and Hidetaka Tanaka and George Theodorakis and Thijs, {Roland D.} and Andrea Ungar and Wilde, {A. A M}",

year = "2006",

month = dec,

doi = "10.1007/s10286-006-0370-3",

language = "English (US)",

volume = "16",

pages = "363--368",

journal = "Clinical Autonomic Research",

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AU - Benditt, D. G.

AU - Wieling, Wouter

AU - Olshansky, Brian

AU - Abe, Haruhiko

AU - Alboni, Paolo

AU - Andresen, Dietrich

AU - Axelrod, Felicia B.

AU - Bennaroch, Eduardo

AU - Bergfeldt, Lennart

AU - Blanc, Jean Jacques

AU - Brignole, Michele

AU - Camm, A. John

AU - Chelimsky, Thomas

AU - Cortelli, Pietro

AU - Van Dijk, J. Gert

AU - Van Dijk, Nynke

AU - Esler, Murray

AU - Fitzpatrick, Adam

AU - Fouad-Tarazi, Fetnat

AU - Freeman, Roy

AU - Goldstein, MaryAnn

AU - Grubb, Blair

AU - Herweg, Bengt

AU - Hilz, Max J.

AU - Jacob, Giris

AU - Jardine, David

AU - Jordan, Jens

AU - Joyner, Michael J.

AU - Kapoor, Wishwa

AU - Kaufmann, Horacio

AU - Kenny, Rose Anne

AU - Krahn, Andrew

AU - Lau, Chu Pak

AU - Levine, Benjamin D.

AU - Van Lieshout, Johannes J.

AU - Lipsitz, Lewis

AU - Low, Philip

AU - Lurie, Keith G.

AU - Malik, Marek

AU - Mathias, Christopher J.

AU - Moya, Angel

AU - Raj, Satish R.

AU - Raviele, Antonio

AU - Saksena, Sanjeev

AU - Sarasin, Francois P.

AU - Saul, Philip J.

AU - Schondorf, Ronald

AU - Senard, Jean Michel

AU - Sheldon, Robert

AU - Shen, Win Kuang

AU - Sra, Jasbir

AU - Stephenson, John

AU - Stewart, Julian M.

AU - Sutton, Richard

AU - Tanaka, Hidetaka

AU - Theodorakis, George

AU - Thijs, Roland D.

AU - Ungar, Andrea

AU - Wilde, A. A M

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N2 - The American College of Cardiology Foundation (ACCF) and the American Heart Association (AHA) have recently published, in both the Journal of the American College of Cardiology (JACC) and Circulation, a Scientific Statement on the Evaluation of Syncope ('Statement'). This Scientific Statement was commissioned to provide guidance for clinicians regarding the evaluation of patients who present with 'syncope'. The Statement was not intended to be a formal set of practice guidelines. However, in the absence of generally accepted practice guidelines in North America, the Statement's potential impact on clinical care may be more far-reaching than expected; it may erroneously be considered to be the authoritative 'de-facto' guideline document. This commentary, submitted by a multidisciplinary consortium of more than 60 physicians with expertise in the management of transient loss of consciousness (TLOC), points out that in many respects the ACCF/AHA Syncope Statement fails to address long-standing clinical errors associated with the evaluation of episodes of apparent TLOC, including syncope. If not appropriately revised, the current Statement may lead to both inadequate patient care as well as a potentially damaging legal environment for physicians undertaking evaluation of patients who present with transient loss of consciousness.

AB - The American College of Cardiology Foundation (ACCF) and the American Heart Association (AHA) have recently published, in both the Journal of the American College of Cardiology (JACC) and Circulation, a Scientific Statement on the Evaluation of Syncope ('Statement'). This Scientific Statement was commissioned to provide guidance for clinicians regarding the evaluation of patients who present with 'syncope'. The Statement was not intended to be a formal set of practice guidelines. However, in the absence of generally accepted practice guidelines in North America, the Statement's potential impact on clinical care may be more far-reaching than expected; it may erroneously be considered to be the authoritative 'de-facto' guideline document. This commentary, submitted by a multidisciplinary consortium of more than 60 physicians with expertise in the management of transient loss of consciousness (TLOC), points out that in many respects the ACCF/AHA Syncope Statement fails to address long-standing clinical errors associated with the evaluation of episodes of apparent TLOC, including syncope. If not appropriately revised, the current Statement may lead to both inadequate patient care as well as a potentially damaging legal environment for physicians undertaking evaluation of patients who present with transient loss of consciousness.

KW - Consensus

KW - Diagnosis

KW - Evaluation

KW - Management

KW - Practice guidelines

KW - Syncope

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ER -

The ACCF/AHA scientific statement on syncope: A document in need of thoughtful revision

Abstract

Keywords

ASJC Scopus subject areas

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