There is a consensus across multidisciplinary task forces, clinical guidelines, and the ACR Choosing Wisely review that brain CT and MRI should be avoided in uncomplicated syncope [3,8,21]. Cohort studies and a meta-analysis of 12 additional studies reported <1% occurrence of new neurological diagnosis (including stroke) within 30 days from original presentation of syncope or presyncope [4,18,22,23]. aUniversity of California San Diego, San Diego, California. bUniversity of California San Diego, San Diego, California. cPanel Chair, Duke University Medical Center, Durham, North Carolina. dPanel Chair, University of Iowa Hospitals and Clinics, Iowa City, Iowa. ePanel Vice-Chair, Massachusetts General Hospital, Boston, Massachusetts. fMichigan State University, East Lansing, Michigan; American College of Emergency Physicians. gThe University of Chicago Medical Center, Chicago, Illinois; American College of Physicians. hAlpert Medical School of Brown University, Providence, Rhode Island. iSanger Heart and Vascular Institute, Charlotte, North Carolina; Cardiology expert. jVancouver General Hospital, Vancouver, British Columbia, Canada. kUniversity of California Los Angeles, Los Angeles, California. lGill Heart & Vascular Institute, University of Kentucky, Lexington, Kentucky; Society for Cardiovascular Magnetic Resonance. mUniversity of California Los Angeles, Los Angeles, California; American Academy of Neurology. nHarvard Medical School, Boston, Massachusetts. oNaval Medical Center Portsmouth, Portsmouth, Virginia. pUniversity of California San Diego, San Diego, California. qUniversity of North Carolina School of Medicine, Chapel Hill, North Carolina; American Academy of Neurology. rUniversity of Virginia Health System, Charlottesville, Virginia; Society of Cardiovascular Computed Tomography. sUniversity of Cincinnati Medical Center, Cincinnati, Ohio. tAscension Healthcare Wisconsin, Milwaukee, Wisconsin; Nuclear cardiology expert.
Syncope. There is a consensus across multidisciplinary task forces, clinical guidelines, and the ACR Choosing Wisely review that brain CT and MRI should be avoided in uncomplicated syncope [3,8,21]. Cohort studies and a meta-analysis of 12 additional studies reported <1% occurrence of new neurological diagnosis (including stroke) within 30 days from original presentation of syncope or presyncope [4,18,22,23]. aUniversity of California San Diego, San Diego, California. bUniversity of California San Diego, San Diego, California. cPanel Chair, Duke University Medical Center, Durham, North Carolina. dPanel Chair, University of Iowa Hospitals and Clinics, Iowa City, Iowa. ePanel Vice-Chair, Massachusetts General Hospital, Boston, Massachusetts. fMichigan State University, East Lansing, Michigan; American College of Emergency Physicians. gThe University of Chicago Medical Center, Chicago, Illinois; American College of Physicians. hAlpert Medical School of Brown University, Providence, Rhode Island. iSanger Heart and Vascular Institute, Charlotte, North Carolina; Cardiology expert. jVancouver General Hospital, Vancouver, British Columbia, Canada. kUniversity of California Los Angeles, Los Angeles, California. lGill Heart & Vascular Institute, University of Kentucky, Lexington, Kentucky; Society for Cardiovascular Magnetic Resonance. mUniversity of California Los Angeles, Los Angeles, California; American Academy of Neurology. nHarvard Medical School, Boston, Massachusetts. oNaval Medical Center Portsmouth, Portsmouth, Virginia. pUniversity of California San Diego, San Diego, California. qUniversity of North Carolina School of Medicine, Chapel Hill, North Carolina; American Academy of Neurology. rUniversity of Virginia Health System, Charlottesville, Virginia; Society of Cardiovascular Computed Tomography. sUniversity of Cincinnati Medical Center, Cincinnati, Ohio. tAscension Healthcare Wisconsin, Milwaukee, Wisconsin; Nuclear cardiology expert.