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自主神经系统在血管迷走性晕厥中的作用。

The Role of the Autonomic Nervous System in Vasovagal Syncope.

机构信息

Department of Cardiac Sciences, Division of Cardiology, Libin Cardiovascular Institute, University of Calgary, Alberta, Canada.

Department of Cardiac Sciences, Division of Cardiology, Libin Cardiovascular Institute, University of Calgary, Alberta, Canada; Division of Clinical Pharmacology, Department of Medicine, Autonomic Dysfunction Center, Vanderbilt University Medical Center, Nashville, TN, USA.

出版信息

Card Electrophysiol Clin. 2024 Sep;16(3):249-260. doi: 10.1016/j.ccep.2023.10.008. Epub 2023 Nov 1.

Abstract

The mechanism of vasovagal syncope (VVS) is multifaceted and involves a delicate balance within the autonomic nervous system (ANS). This review delves into the complex interplay between the ANS and VVS, elucidating the pivotal role that autonomic imbalance plays in the pathophysiology of this condition. Through a comprehensive exploration of the sympathetic and parasympathetic branches of the ANS, this review provides insights into the mechanisms that underlie VVS. In addition, this article discusses established and emerging research on the management of VVS.

摘要

血管迷走性晕厥(VVS)的发生机制是多方面的,涉及自主神经系统(ANS)内部的微妙平衡。本综述深入探讨了 ANS 与 VVS 之间的复杂相互作用,阐明了自主神经失衡在该病症病理生理学中的关键作用。通过对 ANS 的交感和副交感分支的全面探讨,本综述深入了解了 VVS 的发生机制。此外,本文还讨论了 VVS 管理方面的既定和新兴研究。

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