Libin Cardiovascular Institute of Alberta, University of Calgary, 3280 Hospital Drive Northwest, Calgary, Alberta T2N 4N1, Canada.
Cardiol Clin. 2013 Feb;31(1):67-74. doi: 10.1016/j.ccl.2012.10.009.
This article summarizes the major contributions of tilt table tests and implantable loop recorders to the diagnosis of syncope and provides simple recommendations for these tests. Tilt table tests have provided important benefits in the field of neurally mediated syncope. However, they have significant limitations. Implantable loop recorders also are proving very useful. They have identified 2 populations of older patients with syncope who may benefit from permanent pacing. Randomized studies have established the safety and efficacy of their early application in the diagnosis of syncope.
本文总结了倾斜试验和植入式循环记录器在晕厥诊断中的主要贡献，并为这些检查提供了简单的建议。倾斜试验在神经介导性晕厥的领域提供了重要的益处，但也有明显的局限性。植入式循环记录器也被证明非常有用。它们确定了两类老年晕厥患者可能受益于永久性起搏。随机研究已经证实了其在晕厥诊断中的早期应用的安全性和有效性。
