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Guidelines suggest that patients younger than 60 with no obvious cause of syncope or evidence of cardiac or electrocardiogram abnormalities can be treated as outpatients. Less evidence is available to guide management of syncope in patients aged 60 and older, who have higher rates of syncope and associated serious events than younger patients.
In a retrospective chart review, researchers identified clinical variables that correlated with the occurrence of serious events within 30 days in 2584 patients aged ≥60 who presented with syncope or near syncope without a serious underlying cause to three emergency departments in California during a 4-year period. Serious events included arrhythmia, hemorrhage or anemia, myocardial infarction, structu…