Evidence map›Paper›PMID 42194740›Full record

ReviewJournal of clinical medicine2026

A Narrative Review of Syncope Decision Rules: A Case for Point-of-Care Cardiac Ultrasound for Cardiac Syncope.

Elaine Situ-LaCasse, Neil Wallace, David Wasiak, Pratham Patel, Srikar Adhikari

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Elaine Situ-LaCasseDepartment of Emergency Medicine, University of Arizona College of Medicine, Tucson, AZ 85724, USA.ORCID 0000-0002-2436-4410
Neil WallaceDepartment of Emergency Medicine, University of Arizona College of Medicine, Tucson, AZ 85724, USA.ORCID 0009-0003-8022-6818
David WasiakDepartment of Emergency Medicine, University of Arizona College of Medicine, Tucson, AZ 85724, USA.
Pratham PatelUniversity of Arizona College of Science, Tucson, AZ 85721, USA.
Srikar AdhikariDepartment of Emergency Medicine, University of Arizona College of Medicine, Tucson, AZ 85724, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Syncope is a common complaint among Emergency Department patients. There are innumerable causes for syncope, and it poses a diagnostic challenge for Emergency Medicine (EM) physicians. Currently, several clinical decision rules (CDRs) for risk stratification of patients presenting with syncope depend on the circumstances surrounding the syncopal event, past medical history, vital signs, and results of basic diagnostic studies. However, the basis of these clinical decision tools is unreliable, such as the past medical history or nonspecific findings for various disease processes that can cause syncope. Given risk factors from unreliable sources, this raises the question: are we misclassifying our syncope patients? We posit in this narrative review that there is a role for a bedside diagnostic test, performed by the Emergency Medicine clinician, to assist with accurate risk stratification of syncope-causing pathologies: point-of-care cardiac ultrasound (POCCUS).

Indexed as

cardiac ultrasoundpoint-of-care ultrasoundpulmonary embolismsyncope

Identifiers

PMID42194740
PMCPMC13207387

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.