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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Thus, if there is documented sinus bradycardia, and no suspicion of high grade AV block, at the time of the syncope, this is very useful. Negative predictors included dementia, pacemaker, coronary revascularization, and cerebrovascular disease. There are only 13 patients who appeared well in the ED and had an 'adverse event."