КЛИНИЧЕСКОЕ ТЕЧЕНИЕ СИНКОПЕ В ДИФФЕРЕНЦИАЛЬНОЙ ДИАГНОСТИКЕ СИНКОПАЛЬНЫХ СОСТОЯНИЙ

кардиогенные синкопе продромальные симптомы реф- лекторные синкопе синкопальные состояния

МНОГОФАКТОРНОЕ ПРОГНОЗИРОВАНИЕ ОТДАЛЕННЫХ ИСХОДОВ ОСТРОГО КОРОНАРНОГО СИНДРОМА СО СТОЙКИМ ПОДЪЕМОМ СЕГМЕНТА ST, БИОПСИХОСОЦИАЛЬНЫЙ ПОДХОД — НОВОЕ ТРЕБОВАНИЕ МЕЖДИСЦИПЛИНАРНОСТИ, ...

To evaluate the clinical signs and symptoms in the differential diagnosis of syncope. <...> We investigated 160 patients (64 men and 96 women), aged 18-77 years with reflex or cardiac syncope over the last 3 years. <...> The following were investigated: age, sex, age at first syncope, number of presyncopal episodes, number of syncopal episodes, number of sudden syncope without prodromal signs and the circumstances of syncope. <...> Moreover, we assessed the frequencies of prodromal signs in the differential diagnosis of syncope. <...> Patients with reflex syncope were younger compared to patients with cardiac syncope (41,316,5 vs. 61,812,8; P<0,001) and had lower weight and body mass index (BMI). <...> Dyspnea, heart palpitations, feeling of cold or heat, visual disturbances and tinnitus were associated with reflex syncope (P<0,01). <...> The course of syncope may facilitate a diagnostic process of reflex and cardiac syncope. <...> Russ J Cardiol 2015, 9 (125): 55–58 http://dx.doi.org/10.15829/1560-4071-2015-09-55-58 Key words: cardiac syncope, prodromal symptoms, reflex syncope, syncope. 1 Cardiology Department, Chrzanow City Hospital; 2 Zabrze, Medical University of Silesia, Katowice; 3 Medical University of Silesia, Katowice; 4 , Ewa Nowalany-Kozielska2 Ключевые слова: кардиогенные синкопе, продромальные симптомы, рефлекторные синкопе, синкопальные состояния. <...> In the current ESC guidelines for the diagnosis and management of syncope two aspects of patients with syncope were stressed. <...> Abbreviations: SD — standard deviation, NS — non significant. ment the causal treatment and individual patient risk stratification, due to the fact that patient risk is not related to syncope mechanism itself but it is frequently associated with the primary disease [1, 2]. <...> Special consideration should be given to prodromal signs such as dizziness, nausea, weakness, sweating and vision disturbances [1, 6]. <...> The aim of the study was to assess the usefulness of the basic data obtained from patient history and prodromal signs in the differential diagnosis of reflex and cardiac syncope. <...> Material and methods We enrolled 160 patients (96 women, 64 men) with a history of syncope, aged 18-77 years, mean age 50,617,3 hospitalized in the Coronary Disease Department, the Institute of Cardiology <...>

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