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      Twenty-five years of research on syncope

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          Abstract

          Over the last 25 years, the Europace journal has greatly contributed to dissemination of research and knowledge in the field of syncope. More than 400 manuscripts have been published in the journal. They undoubtedly improved our understanding of syncope. This symptom is now clearly differentiated from other forms of transient loss of consciousness. The critical role of vasodepression and/or cardioinhibition as final mechanisms of reflex syncope is emphasized. Current diagnostic approach sharply separates between cardiac and autonomic pathways. Physiologic insights have been translated, through rigorously designed clinical trials, into non-pharmacological or pharmacological interventions and interventional therapies. The following manuscript is intended to give the reader the current state of the art of knowledge of syncope by highlighting landmark contributions of the Europace journal.

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          Most cited references131

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          2018 ESC Guidelines for the diagnosis and management of syncope

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            2021 European Society of Hypertension practice guidelines for office and out-of-office blood pressure measurement

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              2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy

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                Author and article information

                Contributors
                Journal
                Europace
                Europace
                europace
                Europace
                Oxford University Press (US )
                1099-5129
                1532-2092
                August 2023
                25 August 2023
                25 August 2023
                : 25
                : 8
                : euad163
                Affiliations
                Department of Cardiology, Karolinska University Hospital , Eugeniavägen 3, 171 76 Solna, Stockholm, Sweden
                Department of Medicine, Karolinska Institute , Solnavägen 1, 171 77 Solna, Stockholm, Sweden
                Department of Clinical Sciences, Lund University , 214 28 Malmö, Sweden
                Department of Cardiology, Medical Centre for Postgraduate Education, Grochowski Hospital , Ul. Grenadierow 51/59, 04-073 Warsaw, Poland
                Department of Cardiology, S. Luca Hospital, IRCCS, Istituto Auxologico Italiano , Piazzale Brescia 20, 20149 Milan, Italy
                Department of Clinical and Experimental Cardiology, Heart Center, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam , Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands
                The Irish Longitudinal Study on Ageing, Trinity College Dublin , 152-160 Pearse St, Dublin, Ireland
                Mercer Institute for Successful Ageing, St. James Hospital , James St, Dublin 8, D08 NHY1Ireland
                Department of Cardiology, Hospital Universitari Dexeus , Carrer de Sabino Arana 5-19, 08028 Barcelona, Spain
                Division of Geriatric and Intensive Care Medicine, University of Florence and Azienda Ospedaliero-Universitaria Careggi , Largo Brambilla 3, 50139 Florence, Italy
                Department of Cardiac Sciences, University of Calgary , Libin Cardiovascular Institute, 3310 Hospital Drive NW, Calgary, Alberta T2N 4N1, Canada
                Department of Neurology, Canisius Wilhelmina Hospital , Weg door Jonkerbos 100, 6532 SZ, Nijmegen, The Netherlands
                Department of Cardiology, Hammersmith Hospital, National Heart & Lung Institute , Imperial College, Du Cane Road, London, W12 0HS, United Kingdom
                Assistance Publique − Hôpitaux de Marseille, Centre Hospitalier Universitaire La Timone, Service de Cardiologie, Marseille, France and Aix Marseille Université , C2VN, 264 Rue Saint-Pierre, 13005 Marseille, France
                Author notes
                Corresponding author. Tel: +33491386575. E-mail address: jean-claude.deharo@ 123456ap-hm.fr

                Conflict of interest: None declared.

                Author information
                https://orcid.org/0000-0002-5352-6327
                https://orcid.org/0000-0002-1845-5607
                https://orcid.org/0000-0002-7590-9230
                https://orcid.org/0000-0002-9336-8124
                https://orcid.org/0000-0002-2736-2242
                https://orcid.org/0000-0002-3463-4082
                https://orcid.org/0000-0002-6953-7573
                https://orcid.org/0000-0002-5710-1094
                https://orcid.org/0000-0002-1534-3845
                Article
                euad163
                10.1093/europace/euad163
                10450792
                37622579
                90c1126b-4909-4486-ba0b-909dce057a65
                © The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License ( https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com

                History
                : 29 May 2023
                : 30 May 2023
                Page count
                Pages: 13
                Categories
                State of the Art Review
                AcademicSubjects/MED00200
                Eurheartj/1
                Eurheartj/6

                Cardiovascular Medicine
                unexplained syncope,syncope mechanism,syncope diagnosis,syncope treatment,syncope europace

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