Nager F
Schweiz Med Wochenschr. 1976 Dec 4;106(49):1711-26.
Clinical cases are presented on the general theme of cardiovascular syncope. A case is cited to illustrate the clinical picture of idiopathic hypertrophic obstructive cardiomyopathy, a frequently disguised and misinterpreted cause of syncope. Chief attention is focused on the concept of fascicular heart block causing syncope. In the light of 3 patients, the various possibilities with respect to etiology, evolution, clinical picture and prognosis of fascicular heart block are outlined. In this context the diagnostic, prognostic and therapeutic significance of His bundle electrocardiography is discussed. Finally, 2 cases are cited to illustrate the sick sinus syndrome as a major cause of syncope. The diagnostic procedure in patients with suspected lazy sinus node is discussed and the results are presented of 16 personally observed cases with this disorder.
本文呈现了以心血管性晕厥为总体主题的临床病例。引用了一个病例来说明特发性肥厚性梗阻性心肌病的临床表现，这是一种常被隐匿且易被误诊的晕厥原因。主要关注点集中在引起晕厥的束支性心脏传导阻滞概念上。根据3例患者，概述了束支性心脏传导阻滞在病因、演变、临床表现及预后方面的各种可能性。在此背景下，讨论了希氏束心电图的诊断、预后及治疗意义。最后，引用2例病例来说明病态窦房结综合征是晕厥的主要原因。讨论了疑似病窦综合征患者的诊断程序，并给出了16例亲自观察到的该疾病病例的结果。
