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April 2018 Br J Cardiol 2018;25:58–62 doi:10.5837/bjc.2018.013

A novel ambulatory syncope assessment unit is safe and cost-effective in a low-risk patient cohort

Hamish I MacLachlan, Christopher J Allen, Gothandaraman Balaji

Abstract

Introduction Up to half of the UK population will experience syncope in their lifetime,1 although only a minority will seek medical attention.2 Studies report a constant frequency of syncope in European emergency departments (EDs) with an incidence of 1% of all attendances.3 With a lifetime risk of syncope estimated at 42%,4 it accounts for significant morbidity.5,6 Uncovering the precise aetiology behind a syncopal episode remains a diagnostic challenge for clinicians, and only half of those admitted to hospital will be given a diagnosis on discharge.7 Effective management of syncope relies on early clinical evaluation by specialist staff th

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