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Clinical Management of Syncope in Emergency Department Based on Risk Stratification: A Review Literature

Heart Science Journal · Vol. 1 No. 4 (2020) · hlm. 9–13

DOI
10.21776/ub.hsj.2020.001.04.03
ISSN
2721-9984, 2721-9976
Terbit
2020-12-23
Penerbit
Universitas Brawijaya
Bahasa
en

Abstrak

Background: Background Syncope is a frequent problem among patients who present to the ED, accounts for 3% of emergency department admission and 1% of hospitalization. It is characterized by a comparatively short and self-limited loss of consciousness, which is caused by temporary cerebral hypoperfusion.Objective: Therefore, Risk stratification performed in the ED can guide triage decisions, and Risk-stratifying patients into low, moderate, and high-risk groups can assist medical decisions and determine the patient’s disposition.Discussion: The central point of syncope progression pathophysiology is the reduction of systemic blood pressure (BP) with a drop in global cerebral blood flow. Based on the European Society of Cardiology (ESC) syncope practice guidelines, syncope is classified into three categories, Neurally-mediated syncope (neural reflex syncope), Orthostatic hypotension, Cardiac syncope. Proper evaluation of syncope cases could in turn enable timely hospitalization and treatment by syncope experts. Assessment of a patient with syncope can be difficult, requiring a wide variety of medical testing with high health care costs. Sometimes, even after a careful examina- tion, it may not be possible to determine a definitive etiology for syncope. Given these uncertainties, about one-third of emergency room (ER) syncope/collapse patients are referred for assessment to the hospital, including non to low-risk patients. establish the urgency of any further work-up.Conclusion: Syncope assessment and treatment are very difficult, and syncope cases should be treated and dispositioned properly using proper risk stratification guidelines.

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  • University of Brawijaya
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Rekan penulisOrganisasiArtikel bersama
Mohammad Saifur RohmanUniversity of Brawijaya43
Cholid Tri TjahjonoUniversity of Brawijaya25
Anna Fuji RahimahUniversity of Brawijaya24
Djanggan SargowoUniversity of Brawijaya20
Indra PrasetyaUniversity of Brawijaya20
Setyasih AnjarwaniUniversity of Brawijaya18
Budi SatrijoUniversity of Brawijaya18
Heny MartiniUniversity of Brawijaya16
Adhika Prastya WikanandaUniversity of Brawijaya8
Wella KarolinaUniversity of Brawijaya6
Yoga WaranugrahaUniversity of Brawijaya5
Seprian WidasmaraUniversity of Brawijaya5
Valerinna Yogibuana Swastika PutriUniversity of Brawijaya5
Nikhen NoverikeUniversity of Brawijaya5
Sawitri SatwikajatiUniversity of Brawijaya4
Imam Mi'raj SuprayogaUniversity of Brawijaya4
Dea Arie KurniawanUniversity of Brawijaya4
Icmi Dian RochmawatiUniversity of Brawijaya3
Tonny AdriyantoUniversity of Brawijaya3
Fahmy RusnantaUniversity of Brawijaya3
Tri AstiawatiUniversity of Brawijaya3
Anna Fuji RahimahAfiliasi tidak diketahui3
Muhammad Rizki FadlanUniversity of Brawijaya3
Eko Sakti PramukantoroUniversity of Brawijaya2
Kasyful AmronUniversity of Brawijaya2
Viera WardhaniUniversity of Brawijaya2
Puspa LestariUniversity of Brawijaya2
Olivia HandayaniUniversity of Brawijaya2
Anita Surya SantosoAfiliasi tidak diketahui2
Fitranti Suciati LaitupaUniversity of Brawijaya2
Irma KameliaUniversity of Brawijaya2
Muhammad Saifur RohmanAfiliasi tidak diketahui2
Taufieq Ridlo MakhmudUniversity of Brawijaya2
Faris Wahyu NugrohoUniversity of Brawijaya2
Dedy IrawanUniversity of Brawijaya2
Ayu Asri Devi AdityawatiUniversity of Brawijaya2

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Sumber metadata: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en">Clinical Management of Syncope in Emergency Department Based on Risk Stratification : A Review Literature</dc:title>
	<dc:creator xml:lang="en">Kamila, Putri Annisa</dc:creator>
	<dc:creator xml:lang="en">Rizal, Ardian</dc:creator>
	<dc:creator xml:lang="en">Kurnianingsih, Novi</dc:creator>
	<dc:creator xml:lang="en">Widito, Sasmojo</dc:creator>
	<dc:subject xml:lang="en">syncope</dc:subject>
	<dc:subject xml:lang="en">risk stratification</dc:subject>
	<dc:subject xml:lang="en">TLOC</dc:subject>
	<dc:description xml:lang="en">Background: Background Syncope is a frequent problem among patients who present to the ED, accounts for 3% of emergency department admission and 1% of hospitalization. It is characterized by a comparatively short and self-limited loss of consciousness, which is caused by temporary cerebral hypoperfusion.Objective: Therefore, Risk stratification performed in the ED can guide triage decisions, and Risk-stratifying patients into low, moderate, and high-risk groups can assist medical decisions and determine the patient’s disposition.Discussion: The central point of syncope progression pathophysiology is the reduction of systemic blood pressure (BP) with a drop in global cerebral blood flow. Based on the European Society of Cardiology (ESC) syncope practice guidelines, syncope is classified into three categories, Neurally-mediated syncope (neural reflex syncope), Orthostatic hypotension, Cardiac syncope. Proper evaluation of syncope cases could in turn enable timely hospitalization and treatment by syncope experts. Assessment of a patient with syncope can be difficult, requiring a wide variety of medical testing with high health care costs. Sometimes, even after a careful examina- tion, it may not be possible to determine a definitive etiology for syncope. Given these uncertainties, about one-third of emergency room (ER) syncope/collapse patients are referred for assessment to the hospital, including non to low-risk patients. establish the urgency of any further work-up.Conclusion: Syncope assessment and treatment are very difficult, and syncope cases should be treated and dispositioned properly using proper risk stratification guidelines.</dc:description>
	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2020-12-23</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://heartscience.ub.ac.id/index.php/heartscience/article/view/45</dc:identifier>
	<dc:identifier>10.21776/ub.hsj.2020.001.04.03</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 1 No. 4 (2020): Acute Coronary Syndrome in Daily Practice : Diagnosis, Complication, and Management; 9-13</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2020.001.04</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/45/307</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2020 Heart Science Journal</dc:rights>
</oai_dc:dc>