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- Published on: 29 April 2016
- Published on: 29 April 2016
- Published on: 29 April 2016
- Published on: 29 April 2016Validation of the San Francisco RuleDear Editor,Show More
Though Dr Sreenivasan states the San Francisco syncope rule is a very sensitive rule with a 98% sensitivity, due to the relatively small number of patients with the outcome of interest, the lower estimate of sensitivity is 89%, potentially missing 11% of patients with a serious cause of syncope. It must also be remembered that this was a single site validation study, the results may not be generalisable to our...
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None declared. - Published on: 29 April 2016Carotid Sinus Hypersensitivity is a common cause of unexplained syncope in patients aged over 50Show More
Dear Editor,
We applaud Reed and Gray’s efforts at reviewing the literature on the management of syncope in the emergency department [1]. We are, however, uncomfortable with the suggestion that carotid sinus massage (CSM) could be performed as part of the routine clinical examination for syncope within the emergency department.
Carotid sinus hypersensitivity (CSH) is characterised by reduction in systo...
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None declared. - Published on: 29 April 2016Prospective validation of the San Francisco Syncope RuleShow More
Dear Editor,
Since this excellent review by Reed and Gray was accepted for publication on 13 March 2006, Quinn et al. have published a prospective validation of their San Francisco Syncope Rule (Quinn JV, McDermott DA, Steill IG, et al. Prospective Validation of the San Francisco Syncope Rule to Predict Patients With Serious Outcomes. Ann Emerg Med. 2006; 47:448 - 454). This showed 98% sensitivity and 56% specif...
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None declared.