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晕厥患者的心脏监测：做出难以捉摸的诊断。

Cardiac monitoring in patients with syncope: making that elusive diagnosis.

作者信息

Subbiah Rajesh, Chia Pow-Li, Gula Lorne J, Klein George J, Skanes Allan C, Yee Raymond, Krahn Andrew D

机构信息

London Health Sciences Centre, University Campus, C6-113, 339 Windermere Road, London, Ontario, Canada, N6A 5A5.

出版信息

Curr Cardiol Rev. 2013 Nov;9(4):299-307. doi: 10.2174/1573403x10666140214120056.

DOI:10.2174/1573403x10666140214120056
PMID:23228074
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3941093/
Abstract

Elucidating the cause of syncope is often a diagnostic challenge. At present, there is a myriad of ambulatory cardiac monitoring modalities available for recording cardiac rhythm during spontaneous symptoms. We provide a comprehensive review of these devices and discuss strategies on how to reach the elusive diagnosis based on current evidencebased recommendations.

摘要

阐明晕厥的病因往往是一项诊断挑战。目前，有大量的动态心脏监测方式可用于在出现自发症状时记录心律。我们对这些设备进行了全面综述，并根据当前基于证据的建议，讨论了如何实现难以捉摸的诊断的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d73e/3941093/adfbc27b674e/CCR-9-299_F6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d73e/3941093/b7af48ceef50/CCR-9-299_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d73e/3941093/bef516aa875f/CCR-9-299_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d73e/3941093/6c08e5989375/CCR-9-299_F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d73e/3941093/730fbfa72cf8/CCR-9-299_F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d73e/3941093/4d5b663969f4/CCR-9-299_F5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d73e/3941093/adfbc27b674e/CCR-9-299_F6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d73e/3941093/b7af48ceef50/CCR-9-299_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d73e/3941093/bef516aa875f/CCR-9-299_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d73e/3941093/6c08e5989375/CCR-9-299_F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d73e/3941093/730fbfa72cf8/CCR-9-299_F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d73e/3941093/4d5b663969f4/CCR-9-299_F5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d73e/3941093/adfbc27b674e/CCR-9-299_F6.jpg

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本文引用的文献

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Use of an implantable loop recorder to increase the diagnostic yield in unexplained syncope: results from the PICTURE registry.使用植入式循环记录器提高不明原因晕厥的诊断率：PICTURE 登记研究结果。
Europace. 2011 Feb;13(2):262-9. doi: 10.1093/europace/euq418. Epub 2010 Nov 19.
2
An anatomic-based approach for the placement of implantable loop recorders.一种基于解剖学的植入式循环记录仪放置方法。
Pacing Clin Electrophysiol. 2010 Sep;33(9):1149-52. doi: 10.1111/j.1540-8159.2010.02747.x.
3
Guidelines for the diagnosis and management of syncope (version 2009).
晕厥诊断与处理指南（2009年版）
Eur Heart J. 2009 Nov;30(21):2631-71. doi: 10.1093/eurheartj/ehp298. Epub 2009 Aug 27.
4
Indications for the use of diagnostic implantable and external ECG loop recorders.诊断性植入式和外置式心电图环路记录器的使用指征。
Europace. 2009 May;11(5):671-87. doi: 10.1093/europace/eup097.
5
Clinical predictors of cardiac syncope at initial evaluation in patients referred urgently to a general hospital: the EGSYS score.急诊转诊至综合医院患者初始评估时心脏性晕厥的临床预测因素：EGSYS评分
Heart. 2008 Dec;94(12):1620-6. doi: 10.1136/hrt.2008.143123. Epub 2008 Jun 2.
6
Pacing for neurally mediated syncope: is placebo powerless?神经介导性晕厥的起搏治疗：安慰剂是否无效？
Europace. 2007 Jan;9(1):31-3. doi: 10.1093/europace/eul169.
7
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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Eur Heart J. 2006 Feb;27(3):351-6. doi: 10.1093/eurheartj/ehi602. Epub 2005 Nov 28.