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倾斜试验对原因不明晕厥诊断的探讨

Head-up Tilt Testing in Diagnosis of Syncope of Unknown Origin

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【作者】 王克勤王五一陈孟扬胡锡衷

【Author】 Wang Keqin;Wang Wuyi;Chen Mengyang;et al(Fujian Provincial Resoarch Institute of Cardiovascular Diseases,Fuzhou,350001)

【机构】 福建省心血管病研究所

【摘要】 对连续就诊的27例原因不明晕厥患者进行倾斜试验(HUT),阳性者4例,阳性率为4/27;阴性的23例中有16例加做异丙肾上腺素(ISO)倾斜试验,阳性者10例,阳性率为10/16;7例因不能耐受未能完成全程ISO倾斜试验。基础倾斜试验及ISO倾斜试验阳性者共14例。试验表明,基础倾斜试验直立倾斜时间不宜短于45min,观察HUT诱发晕厥前有否心动过速有助于药物选择。

【Abstract】 The head-up tilt testing(80 degrees,45 minutes)was performed in 27 patients with syncope of unknown origin,the baseline head-up tilt test was positive in 4 of 27 patients 4/27(15%). Ten of 16 Patients (10/16) had a positive response during Isoproterenol infusion plus head-up tilt testing.In conclusions our finding,(1) head up tilt test is a useful method for evaluating syncope unknown origin;(2)the duration of baseline tilt test must be not less than 45 minutes;(3) whether patients had tachycardia before syncope during head-up tilt testing may benefit the selection of drugs.The disadvantage of iso-proterenal was discussed.

【关键词】 倾斜试验晕厥
【Key words】 head-up tilt testingsyncope
  • 【分类号】R544.2
  • 【下载频次】9
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