Table 7: Investigation of Vasovagal Syncope According to the Heart Rhythm Society.
Recommendation | CoR | LoE |
Tilt table testing can be useful for the investigation of patients with suspected vasovagal syncope who lack a confident diagnosis after initial assessment. | IIa | B-NR |
Tilt table testing is reasonable for distinguishing convulsive syncope from epilepsy; to establish a diagnosis of pseudosyncope; and in patients with suspected vasovagal syncope but without clear diagnostic features. | IIa | B-NR |
Tilt table testing is not recommended for predicting the response to specific medical treatments for vasovagal syncope. | III | B-R |
Implantable loop recorders can be useful in the investigation of older patients with infrequently recurrent and troublesome syncope who lack a clear diagnosis and are at low risk of a fatal outcome. | IIa | B-R |
CoR = class of recommendation; LoE = level of evidence.[1]