This site is intended for healthcare professionals

2288 pages added, reviewed or updated during the last month (last updated: 19/4/2021)

2288 pages added, reviewed or updated during the last month (last updated: 19/4/2021)


Medical search

patients with no heart disease and normal ECG

FREE subscriptions for doctors and students... click here
You have 3 more open access pages.

Syncope is patients with no history of heart disease and a normal ECG is most commonly neurally mediated.

The following investigations should be considered:

  • tilt table testing
  • carotid massage should be performed in the elderly:
    • eliciting a vasovagal event supports the diagnosis of carotid sinus syndrome
    • the small risk of causing a stroke in a patient with a carotid bruit or cerebrovascular disease should be weighed against the importance of making a positive diagnosis
  • patients with frequent syncope and other somatic symptoms should be referred for a psychiatric assessment

Last reviewed 01/2018

Links: