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直立倾斜试验对心脏神经反射性晕厥诊断和治疗价值的评价

The Evaluation of MITTT to Diagnose and Treat Cardio-Reflexive Syncope

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【作者】 孙跃民万业达万征张殿芬东伊卡石嘉玲

【Author】 Sun Yuemin,Wan Yeda,Wan Zheng,et al General Hospital of Tianjin Medical University 300052

【机构】 天津医科大学总医院心内科天津医科大学医学影像学系天津医科大学总医院心内科 300052300052300052研究生

【摘要】 采用多阶段异丙基肾上腺素直立倾斜试验(MITTT),对36例不明原因的晕厥患者进行研究。试验结果28例呈阳性,阳性率为77.8%。表现类型:混合型23例占82.1%,血管抑制型4例占14.3%,心脏抑制型1例占3.6%。对试验阳性反应病人给予心得安10~15mg 3次/日或倍他乐克25~50mg 2次/日,服药2~3周。治疗后重复本试验均为阴性。随访3~18个月,无1例再发晕厥。

【Abstract】 Thirty-six patients with unexplained syncope were tested by multistage-isoproterenol tilt table test (MITTT). A positive response occurred in 28 patients (77.7%). Three patterns of heart rate and blood pressure response to MITTT were observed: mixed type manifested in 23 ( 82.2 %) patients, vasodepressive type in 4(14.2%) patients,and cardioinhibitory type in 1(3.6%) patient.-Positive response patients were treated with propranolol (10~15mg,tid) or betaloc (25~50mg,bid) for 2 to 3 weeks. After treatment all patients were subjected to MITTT again,no symptoms were positive. No syncope occurred in following 3 to 18 months.

【关键词】 直立倾斜试验晕厥诊断
【Key words】 tilt table test syncope diagnosis
  • 【文献出处】 天津医药 ,Tianjing Medical Journal , 编辑部邮箱 ,1998年05期
  • 【分类号】R741.04
  • 【被引频次】2
  • 【下载频次】48
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