Utility of Chest Radiography in Emergency Department Patients Presenting With Syncope

Matthew L. Wong, MD, MPH; David Chiu, MD; Nathan I Shapiro, MD, MPH; Shamai A Grossman, MD, MS


Western J Emerg Med. 2016;17(6):698-701. 

In This Article


In ED patients with syncope, chest radiographs have modest diagnostic utility when ordered with discretion. Though the majority of patients who had an adverse event had a normal CXR, patients who had an abnormal CXR were at increased risk for an adverse event. When used in proper clinical context, there may be some information gained by performing a CXR in patients with syncope. A prospective study is needed to validate this conclusion. We recommend the judicious use of CXRs in the correct clinical setting.