However, a detailed history-taking is necessary to diagnose syncope and determine its possible etiology. History taking is crucial to an accurate diagnosis and should begin by answering the question “Is it a syncopal episode or not?” If a TLOC with rapid onset and short duration occurs and the patient recovers completely without sequelae that are accompanied by loss of postural tone, the episode is likely syncope. TLOC, transient loss of consciousness TIA, transient ischemic attac. ![]() In this review, we address the terms of syncope and its essential history-taking components in connection with the mechanism of syncope. ![]() The use of confusing terms is one of the barriers that prevents accurate diagnosis and communication between doctors and patients. Furthermore, clinicians need to understand the clinical features of diseases that require differentiation from syncope, such as seizures. Clinicians can have several diagnostic pitfalls while evaluating patient history, which can be avoided by in-depth understanding of the link between syncope pathophysiology and clinical clues. The most frequent source of error is a clinician’s misconception rather than an inaccurate account of patient symptoms. Building and interpreting patient history are the main factors that cause a diagnostic yield gap between experts and nonexperts. The diagnosis of syncope begins with history taking, and an accurate diagnosis can be established through correct history taking and interpretation. Syncope is a heterogeneous syndrome with complex underlying mechanisms, hence, the spectrum of patients presenting with syncope is broad.
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