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February 2026 Br J Cardiol 2026;33:3–4 doi:10.5837/bjc.2026.007

Syncope – mind the gap: it’s time to build bridges in the UK

Lara Mitchell, Anya Maclean*, Sikander Saeed*

Abstract

A European benchmark: SEED exposes the variation The recently published SEED (Management of Syncope in the Emergency Department) study provides a revealing snapshot of syncope care across Europe.6 In 41 EDs across 14 countries, 952 adult patients presenting with TLoC were evaluated, amounting to 1% of all ED attendances. Findings were striking: 46% of sites had no syncope guideline; 75% lacked a dedicated outpatient clinic; and only 10% offered structured follow-up. Admission rates varied from 20% to 84%. This variation highlights a persistent gap between evidence and delivery. Despite clear European Society of Cardiology (ESC 2018)7 and Nat

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