Come organizzare una Syncope Unit nel Tuo ospedale: i criteri GIMSI per la certificazione. Michele Brignole. Key points:

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1 Come organizzare una Syncope Unit nel Tuo ospedale: i criteri GIMSI per la certificazione Michele Brignole Key points: 1 Il modello organizzativo di Syncope Unit del GIMSI 2 Come ottenere la Certificazione 3 Perché

2 Come organizzare una Syncope Unit nel Tuo ospedale: i criteri GIMSI per la certificazione Michele Brignole

3 ESC Guidelines on Management of Syncope Update 2004 Syncope management facilities A proposed model of organization for the evaluation of the syncope patient in a community

4 Syncope management facilities: ESC standards Who must manage syncope patients? The Syncope Expert The syncope expert is a single physician or the team of physicians who lead the process of a comprehensive management of the patient from risk stratification to diagnosis, therapy and follow-up. They usually perform directly the core laboratory tests and have preferential access to hospitalization and any other diagnostic test and eventual therapy.

5 Syncope management facilities: ESC standards Core equipment: surface ECG recording phasic blood pressure monitoring tilt table testing equipment external and implantable ECG loop recorders 24 hour ambulatory blood pressure monitoring 24 hour ambulatory ECG autonomic function testing ESC Guidelines on Management of Syncope

6 Syncope management facilities: ESC standards Preferential diagnostic access to: echocardiography EP studies stress testing coronary angiography CT and MRI scans electroencephalography ESC Guidelines on Management of Syncope

7 Syncope management facilities: ESC standards Preferential therapy access to: Pacemaker implantation ICD implantation Catheter ablation of arrhythmias and to any eventual therapy for syncope ESC Guidelines on Management of Syncope

8 Syncope management facilities: ESC standards Objectives: Continuity of care. Comprehensive management of the patient from risk stratification to diagnosis, therapy and follow-up Reduction of inappropriate hospitalizations Adoption of standardized guidelines-based approach in adherence with ESC and other appropriate guideline publications ESC Guidelines on Management of Syncope

suspected or unexplained Discharge or Treatment Refer to Neurology/ Psychiatry as appropriate ESC Task

9 Organizing the Management of Syncope Initial evaluation (Emergency dept., In- and out-hospital service, General practitioner) Diagnosis certain Syncope-like condition Diagnosis suspected or unexplained Discharge or Treatment Refer to Neurology/ Psychiatry as appropriate ESC Task Force on Syncope - Update 2004 Syncope facility ( Syncope Unit ) Full access to cardiological and autonomic tests and specialists consultancies

10 Vol 10, 2007

11 Italian Multidisciplinary Group for the Study of Syncope: Established in 2003 by 5 national societies: - arrhythmology, - internal medicine, - emergency medicine, - geriatrics - neurology

15 Congresso Nazionale GIMSI Bologna 2009

16 Congresso Nazionale GIMSI Bologna 2009

17 Le Syncope Unit certificate GIMSI: ALESSANDRIA BOLZANO CATANIA CENTO COMO EMPOLI FIRENZE Careggi FIRENZE Nuovo s. Giovanni di dio FIRENZE S. Maria nuova GENOVA LAVAGNA MESTRE MILANO Niguarda MODENA MONCALIERI NAPOLI Federico II OSTIA REGGIO EMILIA ROMA S Filippo Neri SERIATE TRENTO

18 Certificazione GIMSI: Come ottenerla? Perché?

23 continua

24 segue

27 Certificazione GIMSI: Come ottenerla? Perché?

28 Perché certificazione GIMSI: Attesta che la Tua Syncope Unit ha organizzazione e struttura standardizzata in accordo con le raccomandazioni della SEC Dà visibilità alla Tua Syncope Unit a livello locale (pazienti, colleghi, ecc) Dà visibilità alla Tua Syncope Unit a livello nazionale (sito web GIMSI, organizzazione Corsi GIMSI regionali, ecc) Ti dà l opportunità di partecipare all attività multidisciplinare del GIMSI (studi clinici, congressi, ecc) Ti aiuta a tenerti aggiornato sulla gestione del paziente con sincope E molto altro ancora.

29 pertanto.. Se pensate di avere i requisiti, fate subito domanda di certificazione. Sarete valutati e certificati a Marzo 2011 in occasione del congresso nazionale GIMSI a Bologna

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