2018年欧洲心脏病学会晕厥诊断与管理指南解读
余金波,智宏,马根山
摘要(Abstract)：
<正>晕厥定义为脑部血液低灌注导致的短暂性意识丧失(transient loss of consciousness,TLOC)。其特点为发生迅速、发作时间短暂、自限性并能够完全恢复。晕厥是一种症状,可由多种病因引起,机制复杂,涉及多个学科,且部分晕厥诱因可能危及生命。因此,规范晕厥的诊断、治疗与管理十分重要。欧洲心脏病学会(European Society of Cardiology, ESC)自2001年发表首版晕厥诊断与管理指南[1]以来,后分别于2004年[2]及2009年[3](以下简称《2009年指南》)又陆续
关键词(KeyWords)： 晕厥;指南解读
基金项目(Foundation):
作者(Author): 余金波,智宏,马根山
参考文献(References)：
- [1]Brignole M,Alboni P,Benditt D,et al.Guidelines on management(diagnosis and treatment)of syncope.Eur Heart J,2001,22(15):1256-1306.
- [2]Brignole M,Alboni P,Benditt DG,et al.Guidelines on management(diagnosis and treatment)of syncope-update2004.Execu tive Su m ma r y.Eu r Hea r t J,2004,25(22):2054-2072.
- [3]Moya A,Sutton R,Ammirati F,et al.Guidelines for the diagnosis and management of syncope(version 2009).Eur Heart J,2009,30(21):2631-2671.
- [4]Brignole M,Moya A,de Lange FJ,et al.2018 ESC Guidelines f or the diagnosis and management of syncope.Eur Heart J,2018,39(21):1883-1948.
- [5]Sutton R,Brignole M.Twenty-eight years of research per mit reinter pretation of tilt-testing:hy potensive susceptibility rather than diagnosis.Eur Heart J,2014,35(33):2211-2212.
- [6]La France WC Jr,Baker GA,Duncan R,et al.Minimum requirements f or the diagnosis of psychogenic nonepileptic seizures:a staged approach:a report f rom the International League Against Epilepsy Nonepileptic Seizures Task Force.Epilepsia,2013,54(11):2005-2018.
- [7]Stephenson J,Breningstall G,Steer C,et al.Anoxic-epileptic seizures:home video recordings of epileptic seizures induced by syncopes.Epileptic Disord,2004,6(1):15-19.
- [8]Flammang D,Church TR,De Roy L,et al.Treatment of unexplained syncope:a multicenter,randomized trial of cardiac pacing guided by adenosine 5'-triphosphate testing.Circulation,2012,125(1):31-36.