Sutton Richard, van Dijk Nynke, Wieling Wouter
National Heart and Lung Institute, Imperial College, London, United Kingdom.
Cardiol J. 2014;21(6):651-7. doi: 10.5603/CJ.2014.0097.
In this paper, the role of history taking as a diagnostic tool in patients with transient loss of consciousness (TLOC) is addressed. From a literature review it can be demonstrated that, if properly performed, the history is a powerful diagnostic tool, which in the majority of cases proves to be the only 'test' necessary to establish a diagnosis other than physical examination and electrocardiogram in patients with TLOC. In order to substantiate this conclusion, we examine the different levels of history taking according to the skills and training of the physician involved, the diagnostic yield of each level, the methodology, and the influence of the venue and urgency of the case.
本文探讨了病史采集作为短暂性意识丧失（TLOC）患者诊断工具的作用。通过文献综述可以证明，如果操作得当，病史是一种强大的诊断工具，在大多数情况下，它被证明是TLOC患者除体格检查和心电图之外确立诊断所需的唯一“检查”。为了证实这一结论，我们根据参与医生的技能和培训、每个层面的诊断率、方法以及病例的地点和紧急程度来审视病史采集的不同层面。
