... death from anycause and an increased risk of cardiovascular events and stroke, respectively [15]. By comparison, patients withvasovagal, orthostatic, medication-induced and situa-tional syncope ... care. In a recent update of their 2001 clinical policy on syncope,the American College of Emergency Physicians empha-sized the use of history, physical examination and stand-ard 12-lead ECG ... theinitial syncope evaluation, however, because it is nonin-vasive, relatively inexpensive and can detect potentiallylife-threatening conditions. Extensive laboratory and imaging studies rarely...