The ACCF/AHA scientific statement on syncope: A document in need of thoughtful revision

D. G. Benditt, Wouter Wieling, Brian Olshansky, Haruhiko Abe, Paolo Alboni, Dietrich Andresen, Felicia B. Axelrod, Eduardo Bennaroch, Lennart Bergfeldt, Jean Jacques Blanc, Michele Brignole, A. John Camm, Thomas Chelimsky, Pietro Cortelli, J. Gert Van Dijk, Nynke Van Dijk, Murray Esler, Adam Fitzpatrick, Fetnat Fouad-Tarazi, Roy FreemanMary Ann Goldstein, Blair Grubb, Bengt Herweg, Max J. Hilz, Giris Jacob, David Jardine, Jens Jordan, Michael J. Joyner, Wishwa Kapoor, Horacio Kaufmann, Rose Anne Kenny, Andrew Krahn, Chu Pak Lau, Benjamin D. Levine, Johannes J. Van Lieshout, Lewis Lipsitz, Philip Low, Keith G. Lurie, Marek Malik, Christopher J. Mathias, Angel Moya, Satish R. Raj, Antonio Raviele, Sanjeev Saksena, Francois P. Sarasin, Philip J. Saul, Ronald Schondorf, Jean Michel Senard, Robert Sheldon, Win Kuang Shen, Jasbir Sra, John Stephenson, Julian M. Stewart, Richard Sutton, Hidetaka Tanaka, George Theodorakis, Roland D. Thijs, Andrea Ungar, A. A.M. Wilde

Research output: Contribution to journalReview articlepeer-review

8 Scopus citations


The American College of Cardiology Foundation (ACCF) and the American Heart Association (AHA) have recently published, in both the Journal of the American College of Cardiology (JACC) and Circulation, a Scientific Statement on the Evaluation of Syncope ('Statement'). This Scientific Statement was commissioned to provide guidance for clinicians regarding the evaluation of patients who present with 'syncope'. The Statement was not intended to be a formal set of practice guidelines. However, in the absence of generally accepted practice guidelines in North America, the Statement's potential impact on clinical care may be more far-reaching than expected; it may erroneously be considered to be the authoritative 'de-facto' guideline document. This commentary, submitted by a multidisciplinary consortium of more than 60 physicians with expertise in the management of transient loss of consciousness (TLOC), points out that in many respects the ACCF/AHA Syncope Statement fails to address long-standing clinical errors associated with the evaluation of episodes of apparent TLOC, including syncope. If not appropriately revised, the current Statement may lead to both inadequate patient care as well as a potentially damaging legal environment for physicians undertaking evaluation of patients who present with transient loss of consciousness.

Original languageEnglish (US)
Pages (from-to)363-368
Number of pages6
JournalClinical Autonomic Research
Issue number6
StatePublished - Dec 2006


  • Consensus
  • Diagnosis
  • Evaluation
  • Management
  • Practice guidelines
  • Syncope

ASJC Scopus subject areas

  • Endocrine and Autonomic Systems
  • Clinical Neurology


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