<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-5633</journal-id>
<journal-title><![CDATA[Revista Colombiana de Cardiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Colomb. Cardiol.]]></abbrev-journal-title>
<issn>0120-5633</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Colombiana de Cardiologia. Oficina de Publicaciones]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-56332025000200119</article-id>
<article-id pub-id-type="doi">10.24875/rccar.m24000236</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Diagnóstico y tratamiento del síncope vasovagal: ¿qué hacer y qué no hacer?]]></article-title>
<article-title xml:lang="en"><![CDATA[Diagnosis and treatment of vasovagal syncope: what to do and what not to do?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duque-Ramírez]]></surname>
<given-names><![CDATA[Mauricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duque-González]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad CES Posgrado de Cardiología Facultad de Medicina]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,PUL.SOS PUL.SOS ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2025</year>
</pub-date>
<volume>32</volume>
<numero>2</numero>
<fpage>119</fpage>
<lpage>122</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-56332025000200119&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-56332025000200119&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-56332025000200119&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El síncope es una afección caracterizada por una pérdida repentina y temporal del conocimiento, causada por una disminución del flujo sanguíneo al cerebro, de inicio rápido y breve duración (desde unos pocos segundos hasta un minuto) y recuperación completa espontánea, con una incidencia acumulada a lo largo de la vida cercana al 35%. Representa entre el 0.6 y el 3% de todas las visitas a los servicios de urgencias en el mundo. Aproximadamente, el 50% de ellos son admitidos; entre los diversos tipos de síncope, el vasovagal, también conocido como neurocardiogénico, es la causa más frecuente y es un motivo común de visitas al servicio de urgencias, lo que produce una angustia significativa y afecta de manera negativa la calidad de vida de los pacientes, con pruebas costosas y admisiones hospitalarias. Las directrices mejoradas y los enfoques diagnósticos innovadores, complementados con tecnología, pueden ofrecer vías para una atención más rentable y eficiente. El enfoque estandarizado para la evaluación del síncope reduce las admisiones hospitalarias y los costos médicos, y aumenta la precisión del diagnóstico. La evaluación inicial de todos los pacientes que presentan síncope incluye una historia clínica detallada, un examen físico y un electrocardiograma. Con esto se puede diagnosticar hasta el 50% de los casos y permite hacer un tratamiento inmediato y estratificar el riesgo. Las pruebas de laboratorio y las neuroimágenes tienen un rendimiento diagnóstico bajo y deben solicitarse solo si están clínicamente indicados. Los pacientes de bajo riesgo, con un solo episodio de síncope, a menudo pueden ser tranquilizados y sin necesidad de realizar más investigaciones. Los pacientes de alto riesgo con enfermedad cardiovascular, antecedentes de arritmia, hallazgos electrocardiográficos anormales o comorbilidades graves deben ser ingresados en el hospital para una evaluación más completa.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Syncope is a condition characterized by a sudden and temporary loss of consciousness, caused by decreased blood flow to the brain. It is characterized by rapid onset and short duration (from a few seconds to a minute) and complete spontaneous recovery, with a cumulative lifetime incidence of approximately 35%. Syncope accounts for 0.6-3% of all emergency department visits worldwide. Approximately, 50% of these are admitted. Among the various types of syncope, vasovagal syncope, also known as neurocardiogenic syncope, is the most frequent cause of syncope and is a common reason for emergency department visits, resulting in significant distress and negatively impacting patients’ quality of life, with costly testing and hospital admissions. Improved guidelines and innovative diagnostic approaches, potentially complemented by technology, may offer avenues for more cost-effective and efficient care. A standardised approach to syncope assessment reduces hospital admissions and medical costs and increases diagnostic accuracy. Initial assessment of all patients presenting with syncope includes a detailed history, physical examination and electrocardiogram, which can diagnose up to 50% of patients and allows prompt treatment and risk stratification. Laboratory tests and neuroimaging have a low diagnostic yield and should be ordered only if clinically indicated. Low-risk patients with a single episode of syncope can often be reassured without the need for further investigations. High-risk patients with cardiovascular disease, a history of arrhythmia, abnormal electrocardiographic findings or severe comorbidities should be admitted to hospital for further assessment.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Síncope]]></kwd>
<kwd lng="es"><![CDATA[Mesa basculante]]></kwd>
<kwd lng="es"><![CDATA[Arritmia]]></kwd>
<kwd lng="en"><![CDATA[Syncope]]></kwd>
<kwd lng="en"><![CDATA[Tilt table]]></kwd>
<kwd lng="en"><![CDATA[Arrhythmia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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