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Previous Volume 352:1004-1010 March 10, 2005 Number 10 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 23-year-old nurse presents for evaluation after having had five episodes of syncope at work during the previous three months. All the episodes occurred while she was standing and were characterized by a feeling of light-headedness lasting one to two seconds and then an abrupt loss of consciousness. Two of the episodes caused falls that resulted in facial trauma. The syncope was . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Tilt-Table Testing

Implantable Loop Recorders

Treatment

High-Risk Patients

Beta-Blockers

Fludrocortisone

Vasoconstrictors

Selective Serotonin-Reuptake Inhibitors

Other Therapies

Cardiac Pacing

Guidelines

Areas of Uncertainty

Summary and Recommendations

Source Information

From the Division of Cardiology, Department of Medicine, Medical College of Ohio, Toledo.

Address reprint requests to Dr. Grubb at the Division of Cardiology, Medical College of Ohio, 3000 Arlington Ave., Toledo, OH 43614, or at bgrubb@mco.edu.

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