Emergencies: Electrocardiographic findings in patients with syncope: San José Hospital in Bogotá DC, July 2012 - June 2013
Urgencias: Hallazgos electrocardiográficos en pacientes con síncope: Hospital de San José de Bogotá DC, Julio 2012 - Junio 2013
Show authors biography
Objective: to describe the findings of the ECG in patients over 18 years of age with syncope on admission to the emergency room, between June 1, 2012 and June 1, 2013, at the San José Hospital in Bogotá DC. Materials and methods: a retrospective cross-sectional study with data on clinical sociodemographic variables and ECG findings reported independently by an emergency doctor and a cardiologist. Results: 60 patients met the criteria according to the guidelines of the European Society of Cardiology. The most frequent ECG findings were changes in the QT interval (11.7%), sinus bradycardia (6.7%), bifascicular block (5%), second-degree atrioventricular block (1.7%), nonsustained ventricular tachycardia (1.7%), Q waves suggestive of myocardial necrosis (1.7%) and other changes (20%). The agreement between general practitioner versus cardiologist was 41.5%. Conclusion: the median age and gender are similar to those reported in other studies, but there is a noticeable difference in the interpretation of the ECG between the emergency physician and the cardiologist, which can change the prognosis and increase the probability of negative outcomes. Abbreviations: ECG, electrocardiogram (s).
Article visits 439 | PDF visits 1098
Downloads
1. Blanc JJ, L’Her C, Touiza A, Garo B, L’Her E, Mansourati J. Prospective evaluation and outcome of patients admitted for syncope over a 1 year period. Eur Heart J. 2002; 23(10):815-20.
2. Colman N, Nahm K, Ganzeboom KS, Shen WK, Reitsma J, Linzer M, et al. Epidemiology of reflex syncope. Clin Auton Res. 2004;14 Suppl 1:9-17.
3. Moya A, Sutton R, Ammirati F, Blanc JJ, Brignole M, Dahm JB, et al. Guía de práctica clínica para el diagnóstico y manejo del síncope. Rev Esp Cardiol. 2009;62(12):1466.e1-e52.
4. Lombroso CT, Lerman P. Breathholding spells (cyanotic and pallid infantile syncope). Pediatrics. 1967 Apr;39(4):563-81.
5. Wieling W, Ganzeboom KS, Saul JP. Reflex syncope in children and adolescents. Heart. 2004;90 (9):1094-100.
6. Soteriades ES, Evans JC, Larson MG, Chen MH, Chen L, Benjamin EJ, Levy D. Incidence and prognosis of syncope. N Engl J Med. 2002; 347:878-85.
7. Ruiz GA, Madoery C, Scaglione J, Labadet C, Estepo J, Caceres Monie C, et al. Encuesta nacional: síncope. Conductas diagnósticas y y terapéuticas. Diagnóstico etiológico. Rev Fed Arg Cardiologia. 1998;27:277-90.
8. Ruiz GA, Peralta A, Gonzalez Zuelgaray J, Duce E. Evolution of patients with clinical neurocardiogenic (vasovagal) syncope not subjected to specific treatment. Am Heart J. 1995;130:345-50.
9. Ammirati F, Colivicchi F, Santini M. Diagnosing syncope in cli¬nical practice. Implementation of a simplified diagnostic algorithm in a multicentre prospective trial– the OESIL 2 study. Eur Heart J. 2000;21:935-40.
10. Brignole M, Menozzi C, Bartoletti A, Giada F, Lagi A, Ungar A, et al. A new management of syncope: prospective systematic guideline-based evaluation of patients referred urgently to global hospitals. Eur Heart J. 2006;27:76-82.
11. Zuloaga Mendiolea R, de la Fuente Rodriguez A, Hoyos Valencia Y, Leon Rodriguez C. [User satisfaction: a tool to evaluate the results of the care service in a primary care emergency department]. Aten Primaria. 2010 Apr;42(4):242-3.
12. Brignole M, Alboni P, Benditt DG, Bergfeldt L, Blanc JJ, Bloch Thomsen PE, et al. [Guidelines on management (diagnosis and treatment) of syncope. Update 2004. Executive summary]. Rev Esp Cardiol. 2005;58(2):175-93.
13. Almendral Garrote J, González Torrecilla E, Atienza Fernández F, Vigil Escribano D, Arenal Maiz A. [Treatment of patients with ventricular preexcitation]. Rev Esp Cardiol. 2004;57(9):859-68.
14. Vogler J, Breithardt G, Eckardt L. Bradyarrhythmias and conduction blocks. Rev Esp Cardiol. (Engl Ed). 2012;65(7):656-67.
15. Sheldon R. Syncope diagnostic scores. Prog Cardiovasc Dis. 2013; 55(4):390-5.