University of North Texas Health Science Center, Department of Internal Medicine, Division of Cardiology 855 Montgomery Street 76107 Fort Worth, TX, United States.
Int J Cardiol. 2013 Jan 20;162(3):149-57. doi: 10.1016/j.ijcard.2011.11.021. Epub 2011 Dec 20.
This review aims to provide a practical and up-to-date description on the relevance and classification of syncope in adults as well as a guidance on the optimal evaluation, management and treatment of this very common clinical and socioeconomic medical problem. We have summarized recent active research and emphasized the value for physicians to adhere current guidelines. A modern management of syncope should take into account 1) use of risk stratification algorithms and implementation of syncope management units to increase the diagnostic yield and reduce costs; 2) early implantable loop recorders rather than late in the evaluation of unexplained syncope; and 3) isometric physical counter-pressure maneuvers as first-line treatment for patients with neurally-mediated reflex syncope and prodromal symptoms.
本文旨在提供成人晕厥相关性和分类的实用且最新描述，以及该常见临床和社会经济学医学问题的最佳评估、管理和治疗指导。我们总结了最新的研究进展，强调了医生遵循现有指南的价值。晕厥的现代管理应考虑：1）使用风险分层算法和晕厥管理单元的实施，以提高诊断率并降低成本；2）在不明原因晕厥评估中尽早使用植入式循环记录仪，而不是在后期；3）等长物理对抗压力动作作为神经介导反射性晕厥和前驱症状患者的一线治疗。
