Journal article
ACR Appropriateness Criteria (R) Syncope
Journal of the American College of Radiology, Vol.18(5 Supplement), pp.S229-S238
05/01/2021
DOI: 10.1016/j.jacr.2021.02.021
PMID: 33958116
Abstract
Syncope and presyncope lead to well over one million emergency room visits in the United States each year. Elucidating the cause of syncope or presyncope, which are grouped together given similar etiologies and outcomes, can be exceedingly difficult given the diverse etiologies. This becomes more challenging as some causes, such as vasovagal syncope, are relatively innocuous while others, such as cardiac-related syncope, carry a significant increased risk of death. While the mainstay of syncope and presyncope assessment is a detailed history and physical examination, imaging can play a role in certain situations. In patients where a cardiovascular etiology is suspected based on the appropriate history, physical examination, and ECG findings, resting transthoracic echocardiography is usually considered appropriate for the initial imaging. While no imaging studies are considered usually appropriate when there is a low probability of cardiac or neurologic pathology, chest radiography may be appropriate in certain clinical situations.
The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.
Details
- Title: Subtitle
- ACR Appropriateness Criteria (R) Syncope
- Creators
- Seth J. Kligerman - University of California, San DiegoJulie Bykowski - Duke UniversityLynne M. Hurwitz Koweek - University of Iowa Hospitals and ClinicsBruno Policeni - Massachusetts General HospitalBrian B. Ghoshhajra - American College of Emergency PhysiciansMichael D. Brown - American College of PhysiciansAndrew M. Davis - Brown UniversityElizabeth H. Dibble - Sanger Heart and Vascular Institute, Charlotte, North Carolina, Cardiology expert.Thomas V. Johnson - Vancouver General HospitalFaisal Khosa - University of California, Los AngelesLuke N. Ledbetter - Gill Heart & Vascular Institute, University of Kentucky, Lexington, Kentucky, Society for Cardiovascular Magnetic Resonance, Program Director, Advanced Cardiovascular Imaging Fellowship, Director of Cardiac MRI, University of Kentucky.Steve W. Leung - American Academy of NeurologyDavid S. Liebeskind - University of California, Los AngelesDiana Litmanovich - Naval Medical Center PortsmouthChristopher D. Maroules - University of California, San DiegoJeffrey S. Pannell - American Academy of NeurologyWilliam J. Powers - University of Virginia Health SystemTodd C. Villines - University of CincinnatiLily L. Wang - AscensionSamuel Wann - Atlanta VA Health Care SystemAmanda S. Corey - Southwestern Medical CenterSuhny Abbara - UT SouthWestern Med Ctr, Dallas, TX USAExpert Panels Cardiac Imaging
- Resource Type
- Journal article
- Publication Details
- Journal of the American College of Radiology, Vol.18(5 Supplement), pp.S229-S238
- Publisher
- Elsevier
- DOI
- 10.1016/j.jacr.2021.02.021
- PMID
- 33958116
- ISSN
- 1546-1440
- eISSN
- 1558-349X
- Number of pages
- 10
- Language
- English
- Date published
- 05/01/2021
- Academic Unit
- Radiology; Oral Pathology, Radiology and Medicine; Otolaryngology
- Record Identifier
- 9984318789102771
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