Falls and Syncope Service, Royal Victoria Infirmary, Queen Victoria Road, Newcastle Upon Tyne NE1 4LP, United Kingdom.
Int J Cardiol. 2012 Feb 23;155(1):9-13. doi: 10.1016/j.ijcard.2010.10.055. Epub 2010 Nov 20.
The prevalence of syncope, in particular cardiac syncope, increases with advancing age and is associated with significant morbidity and mortality. Diagnosis of syncope within this population can be complex due to atypical presentations, amnesia for events and the overlap with falls. Thus, a lower threshold for investigation, preferably within a specialist syncope service, is necessary. Investigations for neurally mediated syncope, such as head-up tilt table testing, are well tolerated in the older patients, while advances in auto-activated cardiac monitoring devices have increased the diagnostic yield for cardiac syncope. The treatment of syncope ranges from simple conservative measures through to permanent cardiac pacing. This is a review of the existing literature highlighting the epidemiology, aetiology, clinical features, investigation and management strategies of syncope in the older population.
晕厥的发病率，尤其是心源性晕厥，随年龄增长而增加，并与较高的发病率和死亡率相关。由于临床表现不典型、对事件的遗忘以及与跌倒的重叠，该人群的晕厥诊断可能较为复杂。因此，最好在专门的晕厥服务机构中，通过降低检查门槛来进行必要的诊断。神经介导性晕厥的检查，如直立倾斜试验，在老年患者中耐受性良好，而自动激活心脏监测设备的进步提高了心源性晕厥的诊断率。晕厥的治疗范围从简单的保守措施到永久性心脏起搏。这是对现有文献的综述，强调了老年人晕厥的流行病学、病因、临床特征、检查和管理策略。
