Review
Current investigations used to assess syncope
W Arthur, G C KayeDepartment 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
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Introduction |
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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
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