Henderson M C, Prabhu S D
Division of General Medicine, University of Texas Health Science Center at San Antonio, USA.
Curr Probl Cardiol. 1997 May;22(5):242-96. doi: 10.1016/s0146-2806(97)80008-4.
The patient with syncope often poses a formidable diagnostic challenge. A large number of underlying causes must be considered, ranging in severity from benign to life-threatening. A careful, systematic clinical evaluation beginning with a history, physical examination, and ECG will establish the diagnosis in most patients, and the judicious use of specialized testing will confirm or uncover the cause in many of the remaining cases. Further basic and clinical research into the pathogenesis and treatment of neurocardiogenic syncope, the role of HUT testing in neurally mediated syncope, and the optimal use of EPS in patients with cardiac disease will markedly improve our management of these patients in the future.
晕厥患者常常带来巨大的诊断挑战。必须考虑大量潜在病因，其严重程度从良性到危及生命不等。从病史、体格检查和心电图开始进行仔细、系统的临床评估，将能在大多数患者中确立诊断，而明智地运用专业检查将在许多其余病例中证实或揭示病因。对神经心源性晕厥的发病机制和治疗、直立倾斜试验在神经介导性晕厥中的作用以及心脏病患者心脏电生理检查的最佳应用进行进一步的基础和临床研究，将在未来显著改善我们对这些患者的管理。
