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August 1, 2017 Circulation. 2017;136:e60–e122. DOI: 10.1161/CIR.0000000000000499 e60

WRITING COMMITTEE MEMBERS* Win-Kuang Shen, MD, FACC, FAHA, FHRS, Chair† Robert S. Sheldon, MD, PhD, FHRS, Vice Chair David G. Benditt, MD, FACC, FHRS*‡ Mitchell I. Cohen, MD, FACC, FHRS‡ Daniel E. Forman, MD, FACC, FAHA‡ Zachary D. Goldberger, MD, MS, FACC, FAHA, FHRS‡ Blair P. Grubb, MD, FACC§ Mohamed H. Hamdan, MD, MBA, FACC, FHRS*‡ Andrew D. Krahn, MD, FHRS*§ Mark S. Link, MD, FACC‡ Brian Olshansky, MD, FACC, FAHA, FHRS*‡ Satish R. Raj, MD, MSc, FACC, FHRS*§ Roopinder Kaur Sandhu, MD, MPH‡ Dan Sorajja, MD‡ Benjamin C. Sun, MD, MPP, FACEP║ Clyde W. Yancy, MD, MSc, FACC, FAHA‡¶ Developed in Collaboration with the American College of Emergency Physicians and Society for Academic Emergency Medicine

Endorsed by the American College of Emergency Physicians, the Society of Academic Emergency Medicine, and the Pediatric and Congenital Electrophysiology Society

2017 ACC/AHA/HRS Guideline for the

Evaluation and Management of Patients With Syncope

A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society

© 2017 by the American College of Cardiology Foundation, the American Heart Association, Inc., and the Heart Rhythm Society.

Key Words:  AHA Scientific Statements ◼ syncope ◼ risk assessment ◼ diagnosis ◼ prognosis ◼ cardiac syncope ◼ reflex syncope ◼ vasovagal syncope ◼ orthostatic hypotension ◼ neurogenic syncope ◼ dehydration ◼ pediatrics ◼ adult congenital heart disease ◼ geriatrics ◼ driving ◼ athletes

ACC/AHA Task Force Members, see page e98

The American Heart Association requests that this document be cited as follows: Shen W-K, Sheldon RS, Benditt DG, Cohen MI, Forman DE, Goldberger ZD, Grubb BP, Hamdan MH, Krahn AD, Link MS, Olshansky B, Raj SR, Sandhu RK, Sorajja D, Sun BC, Yancy CW. 2017 ACC/AHA/HRS guideline for the evaluation and management of patients with syncope: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Circulation. 2017;136:e60–e122. DOI: 10.1161/CIR.0000000000000499.

*Writing committee members are required to recuse themselves from voting on sections to which their specific relationships with industry may apply; see Appendix 1 for detailed information. †ACC/AHA Task Force on Clinical Practice Guidelines Liaison. ‡ACC/AHA Representative. §HRS Representative. ‖ACEP and SAEM Joint Representative. ¶ACC/AHA Task Force on Performance Measures Liaison.

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