Department of Cardiology, Karolinska University Hospital, Eugeniavägen 3, 171 76 Solna, Stockholm, Sweden.
Department of Medicine, Karolinska Institute, Solnavägen 1, 171 77 Solna, Stockholm, Sweden.
Europace. 2023 Aug 25;25(8). doi: 10.1093/europace/euad163.
Over the last 25 years, the Europace journal has greatly contributed to dissemination of research and knowledge in the field of syncope. More than 400 manuscripts have been published in the journal. They undoubtedly improved our understanding of syncope. This symptom is now clearly differentiated from other forms of transient loss of consciousness. The critical role of vasodepression and/or cardioinhibition as final mechanisms of reflex syncope is emphasized. Current diagnostic approach sharply separates between cardiac and autonomic pathways. Physiologic insights have been translated, through rigorously designed clinical trials, into non-pharmacological or pharmacological interventions and interventional therapies. The following manuscript is intended to give the reader the current state of the art of knowledge of syncope by highlighting landmark contributions of the Europace journal.
在过去的 25 年里，《欧洲心脏起搏、电生理和心脏起搏杂志》（Europace）极大地促进了晕厥领域的研究和知识的传播。该期刊发表了超过 400 篇论文，无疑提高了我们对晕厥的认识。目前，这种症状已明显与其他形式的短暂意识丧失区分开来。目前强调的是血管舒张和/或心脏抑制作为反射性晕厥的最终机制的关键作用。当前的诊断方法通过严格设计的临床试验，将心脏和自主途径明显区分开来。通过严格设计的临床试验，生理见解已转化为非药物或药物干预和介入治疗。本手稿旨在通过强调《欧洲心脏起搏、电生理和心脏起搏杂志》的里程碑式贡献，为读者提供晕厥领域当前的知识现状。
