竖立倾歪试验床针对晕厥的诊断标准(国外英文资料).docVIP

直立倾斜试验床针对晕厥的诊断标准 The standard for diagnosis of syncope with vertical tilt test bed According to a report in the European heart journal published by the European society of cardiology (ESC) for the diagnosis and treatment of the syncope guide (2009 edition) refers to the Chinese literature syncope: 161 Qingyou Z, Junbao D Chaoshu T.T he efficacy of midodrine hydrochloride in the treatment of children with vasovagal syncope. J Pediatr 2006; 149:777-778. The guide first clear the definition of syncope: syncope is due to brief the whole brain tissue ischemia T - LOC, characteristics of rapid, short, self-limited, and can fully recover consciousness. At the same time points out that the syncope is a serious clinical problem (a high incidence and the rise year by year) Framingham study: the incidence of male was 3%, the incidence of women was 3.5%, incidence of 6% of the elderly over the age of 75. Europe has about 1.5 million people with severe syncope. There are about 10 million people with syncope in the United States. There are 500,000 new cases a year! One of the main causes of syncope is vagal syncope. Cardiogenic syncope is the second cause of syncope. In different studies, the pathogenesis of cardiogenic syncope was very different. There is a higher incidence of cardiogenic syncope in elderly patients in hospitals; In patients less than 40 years of age, postural low blood pressure (OH) is rarer. Syncope caused by OH is seen in the elderly (see figure 3). The guidelines also note that syncope accounts for 1-6% of all hospitalized patients; 3% of emergency patients; 30% repeated attacks; Mortality 7%; 9% to 34% are caused by cardiac causes, and severe cases can cause sudden death, with a mortality rate of 30% within a year. In particular, nearly 50% failed to make clear diagnosis and no effective treatment was given. The head-up tilt testing (HUT) is the highest rate of diagnosis in the syncope (figure 4). It is also a diagnostic gold standard for vasovagal syncope