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all right welcome folks my name is omelet matu im a faculty member at university of maryland school of medicine and were going to spend a little time talking about syncope formal title for the faint of heart actually this is for all of you regardless of how your hearts feel were going to spend some time talking about cardiogenic syncope theres a lot of different things that cause syncope were going to focus on the cardiac causes now this actually is going to be a visual diagnosis lecture this is an ekg lecture i know many of you have probably heard a lot of lectures on syncope over the years and theres been a lot of literature and research has come out which has really taught us all that we especially in the united states we have a tendency to admit too many patients with syncope who get negative workups and we spend a lot of money and those patients can probably just get outpatient workups we know that weve come to realize that in terms of the workup in the emergency department