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  • Title: Syncope in the elderly: a clinical approach.
    Author: Whiteside-Yim C.
    Journal: Geriatrics; 1987 Apr; 42(4):37-41. PubMed ID: 3557132.
    Abstract:
    In the elderly, syncope is a common and potentially hazardous event. The traditional diagnostic approach, which involves extensive procedural testing and hospitalization, will establish the diagnosis in only 40 to 50% of patients, but is associated with significant risk for iatrogenesis in older individuals. A focused approach based on clues from a detailed history and physical exam and knowledge of how age-related physiologic changes can affect presentation of illness in the elderly is emphasized. Treatment should focus on preventing recurrence, and the physician should take into consideration associated age and disease-related changes that may lead to iatrogenic complications. However, therapy should not be denied purely because of the patient's age.
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