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肥厚型心肌病中的晕厥(第二部分):关于诊断与管理的专家共识声明

Syncope in hypertrophic cardiomyopathy (part II): An expert consensus statement on the diagnosis and management.

作者信息

Brignole Michele, Cecchi Franco, Anastasakis Aris, Crotti Lia, Deharo Jean Claude, Elliott Perry M, Fedorowski Artur, Kaski Juan Pablo, Limongelli Giuseppe, Maron Martin S, Olivotto Iacopo, Ommen Steve R, Parati Gianfranco, Shen Win, Ungar Andrea, Wilde Arthur

机构信息

IRCCS Istituto Auxologico Italiano, Dept of Cardiology, Hospital S. Luca, Milan, Italy.

IRCCS Istituto Auxologico Italiano, Dept of Cardiology, Hospital S. Luca, Milan, Italy.

出版信息

Int J Cardiol. 2023 Jan 1;370:330-337. doi: 10.1016/j.ijcard.2022.10.153. Epub 2022 Oct 26.

Abstract

Syncopal events in patients with hypertrophic cardiomyopathy (HCM) are of concern as they are a vital consideration in algorithms for risk stratification for sudden cardiac death (SCD) and ICD implantation. However, the cause of syncope is often under-investigated and/or unexplained. Current syncope guidelines do not provide a detailed definition of unexplained syncope. To address this important gap, an international panel of experts in the field of both syncope and HCM wrote a consensus document with the aim of providing practical guidance for the diagnosis and management of syncope in patients with HCM.

摘要

肥厚型心肌病(HCM)患者的晕厥事件备受关注,因为它们是心脏性猝死(SCD)风险分层算法和植入式心律转复除颤器(ICD)植入的重要考量因素。然而,晕厥的原因常常未得到充分调查和/或无法解释。目前的晕厥指南并未对不明原因晕厥给出详细定义。为填补这一重要空白,晕厥和HCM领域的一个国际专家小组撰写了一份共识文件,旨在为HCM患者晕厥的诊断和管理提供实用指导。

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