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一名冠心病患者中,颈动脉窦过敏作为晕厥原因:一例报告。

Carotid sinus hypersensitivity, as a cause of syncope, in a patient with coronary artery disease: A case report.

作者信息

Dhakal Bishal, Simkhada Nabin, Pathak Bishnu Deep, Subedi Binaya, Thapa Dilip, Acharya Suchita, Prabhat K C, Karki Parag

机构信息

Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal.

Chitwan Medical College, Bharatpur, Chitwan, Nepal.

出版信息

Ann Med Surg (Lond). 2022 Jun 5;78:103940. doi: 10.1016/j.amsu.2022.103940. eCollection 2022 Jun.

Abstract

INTRODUCTION

Carotid sinus hypersensitivity is one of the unexplained causes of syncope in old age. There are variations in presentations of carotid sinus hypersensitivity.

CASE PRESENTATION

A 56-year-old male, known case of coronary artery disease, presenting with syncope, was diagnosed as carotid sinus hypersensitivity finally. He was treated with the placement of dual chamber pacemaker.

CLINICAL DISCUSSION

The etiology of unexplained syncope is itself a challenging for clinicians. In the presence of a known risk factor, it is uncommon for carotid sinus hypersensitivity to be present as a cause of syncope.

CONCLUSIONS

Hence, the rare disorder like carotid sinus hypersensitivity should also be considered as a cause of syncope despite the presence of co-morbidity like coronary artery disease.

摘要

引言

颈动脉窦过敏是老年不明原因晕厥的病因之一。颈动脉窦过敏的表现存在差异。

病例报告

一名56岁男性,已知患有冠状动脉疾病,出现晕厥症状,最终被诊断为颈动脉窦过敏。他接受了双腔起搏器植入治疗。

临床讨论

不明原因晕厥的病因本身对临床医生来说就是一个挑战。在存在已知风险因素的情况下,颈动脉窦过敏作为晕厥的病因并不常见。

结论

因此,尽管存在如冠状动脉疾病等合并症,像颈动脉窦过敏这样的罕见疾病也应被视为晕厥的病因。

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