Performance of the American Heart Association/American College of Cardiology/Heart Rhythm Society versus European Society of Cardiology Guideline Criteria for Hospital Admission of Patients with Syncope.
Document Type
Article
Publication Date
10-2022
Publication Title
Heart Rhythm
Abstract
BACKGROUND: Current ACC/AHA/HRS and ESC-guidelines recommend different strategies to avoid low-yield admissions in patients with syncope.
OBJECTIVE: Directly comparing safety and efficacy of applying admission criteria of both guidelines to patients presenting with syncope to the ED in two multicentre studies METHODS: The international BASEL-IX (median age 71 years) and the American SRS study (median age 72 years). Primary endpoints were sensitivity/specificity for the adjudicated diagnosis of cardiac syncope (BASEL-IX only) and 30-day major adverse cardiovascular events (30d-MACE).
RESULTS: Among 2'560 patients in BASEL-IX and 2'085 in SRS, ACC/AHA/HRS and ESC-criteria recommended admission for a comparable number of patients in Basel-IX (27% vs 28%), but ACC/AHA/HRS-criteria less often in SRS (19% versus 32%, p=0.15, respectively). In SRS, sensitivity for 30d-MACE was lower with ACC/AHA/HRS (54%) versus ESC-criteria (88%, p
CONCLUSION: ACC/AHA/HRS and ESC-guideline showed disagreement regarding admission in one of four patients, and had only modest sensitivity, all indicating possible opportunities for improvements.
Volume
19
Issue
10
First Page
1712
Last Page
1722
Recommended Citation
du Fay de Lavallaz J, Zimmermann T, Badertscher P, Lopez-Ayala P, Nestelberger T, Miró Ò, et al. [Clark CL, Bastani A] Performance of the American Heart Association/American College of Cardiology/Heart Rhythm Society versus European Society of Cardiology guideline criteria for hospital admission of patients with syncope. Heart Rhythm. 2022 Oct;19(10):1712-1722. PMID: 35644354.
DOI
10.1016/j.hrthm.2022.05.024
ISSN
1556-3871
PubMed ID
35644354