A high diagnostic rate in older patients attending an integrated syncope clinic

J Am Geriatr Soc. 2000 Jul;48(7):783-7. doi: 10.1111/j.1532-5415.2000.tb04753.x.


Objectives: To describe the findings in the first year of an integrated syncope clinic for older patients and to review the published literature on "integrated" syncope clinics investigating older people.

Design: Review of syncope clinic database and Medline search for relevant literature.

Setting: Outpatient syncope clinics in two district hospitals in the same city.

Participants: Secondary referrals from the in- and outpatient population with recurrent unexplained presyncopal and syncopal symptoms.

Results: The results of testing in 76 patients over the age of 60 years were available for analysis. A diagnosis was achieved in 67 (88%) of the patients with 76% of the diagnoses being cardiovascular in origin. The prevalence rates of neurocardiogenic syncope (32%) and carotid sinus syndrome (17%), however, differed from previously reported rates.

Conclusions: Evaluation of presyncopal and syncopal events in an "integrated syncope clinic" achieves a high diagnostic yield in older subjects.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cardiovascular Diseases / diagnosis
  • Cardiovascular Diseases / epidemiology
  • Diagnosis, Differential
  • England / epidemiology
  • Geriatric Assessment / statistics & numerical data*
  • Geriatrics / statistics & numerical data
  • Hospitals, Special / statistics & numerical data
  • Humans
  • Middle Aged
  • Predictive Value of Tests
  • Recurrence
  • Referral and Consultation / statistics & numerical data
  • Syncope / epidemiology
  • Syncope / etiology*
  • Syncope, Vasovagal / diagnosis
  • Syncope, Vasovagal / epidemiology