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Risk-Score Driven Syncope Workup
- Use the Canadian Syncope Risk Score to risk-stratify syncope patients based on objective cardiac findings.
- Prioritize troponin, ECG changes, and vital sign extremes to decide disposition and testing.
PEs Common In Syncope Cohort
- The PEZET trial found 17% of syncope patients had PE, with two-thirds being large-vessel clots.
- Large-vessel PEs plausibly explain syncopal presentations more than small subsegmental clots.
SGLT2s For Heart Failure Broadly
- Prescribe SGLT2 inhibitors for most heart failure patients regardless of diabetes status when indicated.
- Counsel on cost and genitourinary infection risk before starting therapy.