Re: Syncope and TIAs
Dear Dr. Gupta,
Thank you for your comments. You are indeed correct that the European
Society of Cardiology guidelines on syncope 1 specifically mention TIAs as
a cause of “non-syncopal attacks (commonly misdiagnosed as syncope).”
Fogoros identifies TIAs as a cause of syncope from neurologic disorders in
his textbook, Electrophysiologic Testing.2
We agree that there is a distinction between syncope and TIAs and that the
management is very different. Thank you for emphasizing this point.
Tiziano M. Scarabelli
1. Task Force on Syncope, European Society of Cardiology†: M.
Brignole (Chairman), P. Alboni, D. Benditt, L. Bergfeldt, J. J. Blanc, P.
E. Bloch Thomsen, J. G. van Dijk, A. Fitzpatrick, S. Hohnloser, J.
Janousek, W. Kapoor, R. A. Kenny, P. Kulakowski, A. Moya, A. Raviele, R.
Sutton, G. Theodorakis and W. Wieling. Guidelines on management (diagnosis
and treatment) of syncope* European Heart Journal (2001) 22, 1256–1306.
2. Fogoros RN. Practical Cardiac Diagnosis Series;
Electrophysiological Testing, 3rd edition. 1999. Blackwell Publishing,
Competing interests: No competing interests