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晕厥的诊断ppt课件
Brignole M, Alboni P, Benditt D, et al. Guidelines on management (diagnosis and treatment) of syncope—Update 2004. Europace. 2004;6:467-537. Transient Loss of Consciousness, or TLOC, is just that. 它可能像良性的“晕倒”一样简单,或是潜在的致猝死疾病的症状。也许根本就不是晕厥。 It can be as simple as a benign ‘faint’ or a symptom of an underlying disease that may lead to sudden death. Or it may not be syncope at all. 很多情况都会表现为一过性意识丧失,晕厥是其中最常见的一种。 自限性意识丧失和肢体僵化 发生较快 不同的预兆症状 在没有药物或手术干预下,可自主、完全且较快的恢复 This slide provides a simple classification of the principal causes of syncope, listed from the most commonly observed (left) to the least common (right). This ranking may be helpful in thinking about the strategy for evaluating syncope in individual patients. Within the boxes, the most common causes of syncope are indicated for each of the major diagnostic groups. The terms ‘neurally-mediated syncope’, ‘neurally-mediated reflex syncope,’ and ‘neurocardiogenic syncope’ are generally used synonymously. For purposes of this presentation, ‘neurally-mediated syncope’ is used to define a broad category; ‘neurocardiogenic’ or ‘vasovagal syncope’ refer to a specific condition. VVS—Vasovagal Syncope CSS—Carotid Sinus Syndrome ANS—Autonomic Nervous System HCM—Hypertrophic Cardiomyopathy DG Benditt, MD. University of Minnesota Cardiac Arrhythmia Center National Hospital Discharge Survey (NHDS) 2003. National Ambulatory Medical Care Survey (NAMCS) 2002. Syncope is a growing problem. More patients are being seen in outpatient visits and are being admitted with this problem. Syncope results in substantial cost to patients and to society. For example, syncope patients live with lifestyle altering restrictions that affect daily activities, mobility, and employment. Linzer M, Pontinen M, Gold DT, et al. Impairment of physical and psychological function in recurrent syncope. J Clin Epidemiol. 1991;44:1037-1043. Linzer M, Gold DT, Pontinen M, et al. Recurrent syncope as a chronic disease: Preliminary validation of a dise
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