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倾斜诱发的心抑制性晕厥：16 例患者的随访研究。

Tilt-induced cardioinhibitory syncope: a follow-up study in 16 patients.

机构信息

IRCCS, Istituto delle Scienze Neurologiche, Università di Bologna, Via Ugo Foscolo, 7, 40123 Bologna, Italy.

出版信息

Clin Auton Res. 2012 Jun;22(3):155-60. doi: 10.1007/s10286-011-0153-3. Epub 2011 Dec 15.

DOI:10.1007/s10286-011-0153-3
PMID:22170295
Abstract

INTRODUCTION

The exact clinical and prognostic significance and the therapeutic implications of asystole induced by head-up tilt test are still a matter of debate.

METHODS

We assessed, by means of a semi-structured interview, the long-term outcome of cardioinhibitory syncope in all the patients who presented a tilt-induced sinus arrest of more than 3 s in our Autonomic Unit between 1996 and 2010.

CONCLUSIONS

Although syncopal recurrences were common, tilt-induced asystole did not imply a poor prognosis in terms of death or major therapeutic procedures.

摘要

引言

直立倾斜试验引起的停搏的确切临床和预后意义及其治疗意义仍存在争议。

方法

我们通过半结构化访谈评估了 1996 年至 2010 年间在我们自主神经科就诊的所有患者中，因倾斜试验导致窦性停搏超过 3 秒的心脏抑制性晕厥患者的长期预后。

结论

尽管晕厥复发较为常见，但倾斜试验引起的停搏并不意味着死亡或需要进行主要治疗程序的预后不良。

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本文引用的文献

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The European Society of Cardiology Guidelines for the diagnosis and management of syncope reviewed by Angel Moya, MD, FESC, Chair of the Guideline Taskforce with J. Taylor, MPhil.由欧洲心脏病学会晕厥诊断和管理指南，由指南工作组主席、医学博士、欧洲心脏病学会会员安吉尔·莫亚与哲学硕士J. 泰勒审阅。
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Symptoms and signs of syncope: a review of the link between physiology and clinical clues.晕厥的症状和体征：生理学与临床线索之间联系的综述。
Brain. 2009 Oct;132(Pt 10):2630-42. doi: 10.1093/brain/awp179. Epub 2009 Jul 8.
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Influence of age and gender on the occurrence and presentation of reflex syncope.
心脏抑制型血管迷走性晕厥患者起搏器的当前适应证
Open Cardiovasc Med J. 2016 Aug 26;10:179-87. doi: 10.2174/1874192401610010179. eCollection 2016.
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Age and the Head-Up Tilt Test Outcome in Syncope Patients.晕厥患者的年龄与直立倾斜试验结果
Res Cardiovasc Med. 2015 Sep 15;4(4):e27871. doi: 10.5812/cardiovascmed.27871. eCollection 2015 Nov.
年龄和性别对反射性晕厥发生及表现的影响。
Clin Auton Res. 2008 Jun;18(3):127-33. doi: 10.1007/s10286-008-0465-0. Epub 2008 Apr 30.
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Lifetime cumulative incidence of syncope in the general population: a study of 549 Dutch subjects aged 35-60 years.普通人群中晕厥的终生累积发病率：一项对549名年龄在35至60岁之间的荷兰受试者的研究。
J Cardiovasc Electrophysiol. 2006 Nov;17(11):1172-6. doi: 10.1111/j.1540-8167.2006.00595.x.
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