Zhou Wanlu, Chen Bilian
Department of General Medicine, Xiangya Hospital, Central South University, Changsha 410008, China.
Department of Geriatrics, Xiangya Hospital, Central South University, Changsha 410008, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2017 Oct 28;42(10):1232-1235. doi: 10.11817/j.issn.1672-7347.2017.10.018.
Syncope is a clinical symptom for many kinds of diseases. The reasons for some syncope are still not clear even after a comprehensive and systematic examination, known as unexplained syncope. The clinical data of one patient with recurrent syncope, who had received the implanted loop recorder (ILR) in Xiangya Hospital, Central South University, were retrospectively analyzed. The instrument recorded the first syncope at a time of recurrence for the sustained ventricular tachycardia in 704 days after ILR. The patient was thus diagnosed as arrhythmic syncope and received an operation with implantable cardioverter defibrillator. The ILR is a new type of examination device for patients suffering from syncope with suspected cardiac rhythm due to its long monitoring time, low infection rate and high safety. It possesses high clinical value in the diagnosis of patients with arrhythmic syncope.
晕厥是多种疾病的临床症状。即使经过全面系统的检查,仍有一些晕厥的原因不明,称为不明原因晕厥。回顾性分析了中南大学湘雅医院一名接受植入式循环记录仪(ILR)的复发性晕厥患者的临床资料。该仪器在ILR植入704天后记录到首次晕厥发作,当时复发为持续性室性心动过速。该患者因此被诊断为心律失常性晕厥,并接受了植入式心脏复律除颤器手术。ILR是一种新型的检查设备,适用于疑似心律原因导致晕厥的患者,因其监测时间长、感染率低、安全性高。它在心律失常性晕厥患者的诊断中具有很高的临床价值。