Syncope: red flags for admission

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Syncope: red flags for admission. Family history of sudden death, Syncope during exercise, Severe injury. Fully referenced neurology checklist.

Red flags in the history

  • Family history of sudden death
  • Syncope during exercise
  • Severe injury

Red flags on assessment

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The ROSE rule indicators of high risk syncope

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References

  1. McKeon A, Vaughan C, Delanty N. Seizure versus syncope. Lancet Neurol 2006; 5:171-180.
  2. Strickberger SA, Benson DW, Biaggioni I, et al. AHA/ACCF Scientific Statement on the evaluation of syncope: from the American Heart Association Councils on Clinical Cardiology, Cardiovascular Nursing, Cardiovascular Disease in the Young, and Stroke, and the Quality of Care and Outcomes Research Interdisciplinary Working Group; and the American College of Cardiology Foundation: in collaboration with the Heart Rhythm Society: endorsed by the American Autonomic Society. Circulation 2006; 113:316-327.
  3. Glancy DL, Mikdadi GM. Syncope in a 67-year-old man. Proc (Bayl Univ Med Cent) 2005; 18:74-75.
  4. Reed MJ, Newby DE, Coull AJ, Prescott RJ, Jacques KG, Gray AJ. The ROSE (risk stratification of syncope in the emergency department) study. J Am Coll Cardiol 2010; 55:713-721.

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