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Journal of The Korean Society of Emergency Medicine 1995;6(1): 113-121. |
| CLINICAL STUDY OF EMERGENCY MEDICAL CENTER PATIENTS WITH SYNCOPE |
| Sung Man Bae, Jung Bae Park, Sang Eun Kim, Sung Ho Jung, Cheol Wan Park, Keun Lee |
| Department of Emergency Medicine, Chung Ang Gil Hospital, Incheon, Korea |
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Published online: June 30, 1995. |
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| ABSTRACT |
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Syncope is not uncommon problem that needs broad differential diagnosis. Correct diagnosis of the cause of syncope is important, because although some causes of syncope such as vasodepressor syncope have benign prognosis, others such as ventricular tachycardia may need prompt diagnosis and treatment.
We present a retrospective study of the patients with episodes of syncope brought to Emergency Medical Center of Chung Ang Gil Hospital from January 1994 to October 1994 and the results were as followings
1. The patients with episodes of syncope accounte for 0.5% of total Emergency Department visits.
2. The male to female ratio was 4 : 6 and mean age was about 54-years old.
3. The cause of syncope was identifiable in 48% of the case and not in 52%. The noncardiac cause(56%) was more common than the cardiac(44%) and cardiac, noncardiac, SUO(Syncope of Unknown Origin) ratio was 1 : 1.4 : 2.6.
4. 29 % of patients were dignosed by history taking, physical examination, and electrocard1- ography when they visited the Emergency Department initially, and 88% of patients with identifiable causes were diagnosed through initial Emergency Department investigation and Holter monitioring.
5. The rate of correct diagnosis can be increased if initial investigation includes Holter morntoring, and the further research for more accurate, inexpensive and noninvasive diagnostic method for syncope is needed.
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| Key words:
Syncope, Cardiac, Holter monitoring |
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