New-onset syncope in older adults

Focus on age and etiology

Oleg Roussanov, Greta Estacio, Maribeth Capuno, S. Jeanne Wilson, Csaba Kovesdy, Nabil Jarmukli

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

The authors explored the differences in clinical presentation, etiology, mortality, and recurrences of new-onset syncope in 502 patients across 3 age groups: middle-aged (36-60 years), older (61-75 years), and elderly (older than 75 years). Clinical features of syncopal episodes were similar except for more frequent presyncopal episodes in patients older than 75 years. Yield of diagnostic tests was similarly low except for higher incidence of positive tilt-table test (60%) in older patients. Syncope remained unexplained more frequently in the elderly (54% vs 37% in middle-aged and 43% in older adults, p=.01). Syncope recurrence was higher in the middleaged and elderly groups. Overall mortality for the 3 age groups was similar to that recorded in the general population after adjustment for age and comorbidities. Etiology of syncope was not associated with age- and comorbidity-adjusted all-cause mortality. Cardiovascular mortality was significantly higher in patients with cardiogenic syncope (adjusted hazard ratio, 2.44; p=.044).

Original languageEnglish (US)
Pages (from-to)287-294
Number of pages8
JournalAmerican Journal of Geriatric Cardiology
Volume16
Issue number5
DOIs
StatePublished - Sep 1 2007
Externally publishedYes

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Syncope
Mortality
Comorbidity
Tilt-Table Test
Age Groups
Recurrence
Routine Diagnostic Tests
Incidence
Population

All Science Journal Classification (ASJC) codes

  • Gerontology
  • Health Policy
  • Geriatrics and Gerontology
  • Cardiology and Cardiovascular Medicine

Cite this

New-onset syncope in older adults : Focus on age and etiology. / Roussanov, Oleg; Estacio, Greta; Capuno, Maribeth; Wilson, S. Jeanne; Kovesdy, Csaba; Jarmukli, Nabil.

In: American Journal of Geriatric Cardiology, Vol. 16, No. 5, 01.09.2007, p. 287-294.

Research output: Contribution to journalArticle

Roussanov, Oleg ; Estacio, Greta ; Capuno, Maribeth ; Wilson, S. Jeanne ; Kovesdy, Csaba ; Jarmukli, Nabil. / New-onset syncope in older adults : Focus on age and etiology. In: American Journal of Geriatric Cardiology. 2007 ; Vol. 16, No. 5. pp. 287-294.
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