[Differential diagnosis of syncope attack in the district hospital].

With the aim to establish a rational and effective programme for the diagnosis of syncopes for district hospitals 159 patients with previous syncopes underwent an examination programme which contained the whole specialized diagnostic spectrum of a district hospital up to the higher-frequent right-atrial stimulation. In 141 patients (88.7%) the diagnostics was successful, 18 cases (11.3%) remained unclear. At least 53% of the syncopes were of cardial, 21% of vasal, 13% of "other" and 5% of central-nervous origin. The significantly most frequent causes of the syncope were the bradycardic disturbances of the cardiac rhythm (40%) and the carotid sinus syndrome of cardioinhibitory type (22%). Apart from the analysis of the distribution of frequency and sex of the causes of the syncope as well as of the quota of the diagnostic impact of the individual examination methods on the basis of the results a diagnostic step programme is presented which renders possible a syncopal diagnostics successful in a district hospital.