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Postgraduate Medical Journal 2001;77:20-23; doi:10.1136/pmj.77.903.20
© 2001 BMJ Publishing Group Ltd and The Fellowship of Postgraduate Medicine.
Postgrad Med J 2001;77:20-23 ( January )

Review

Current investigations used to assess syncope

W Arthur, G C Kaye

Department of Cardiology, Castle Hill Hospital, Castle Road, Cottingham, East Yorkshire HU16 5JQ, UK

Correspondence to: Dr Wayne Arthur, Department of Cardiology, Peterborough District Hospital, Thorpe Road, Peterborough PE3 5DE, UK wayne@denecres.freeserve.co.uk

Submitted 30 December 1999; Accepted 16 February 2000

The first 150 words of the full text of this article appear below.

    Introduction

Following a thorough history, physical examination, and electrocardiography, the cause of syncope remains undiagnosed in around 50% of patients.1 Diagnostic investigations are performed to confirm a suspected diagnosis or to explore another potential cause. When exploring the cause of syncope, features of the initial history and examination should direct the investigations wherever possible.

The usefulness of a test can be described in various terms. The sensitivity of a test measures how effective it is in detecting those individuals who are truly diseased (true positives). The specificity of a test measures how effective it is in detecting those individuals who are not diseased (true negatives). The positive predictive value of a test is the probability of actually having a condition given that the test result is positive. The negative predictive value is the probability of not having the disease given that the test is negative. The diagnostic yield of a test . . . [Full text of this article]


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