86 cases of vasovagal syncope in Diagnosis and Treatment.docVIP

 PAGE \* MERGEFORMAT 3 86 cases of vasovagal syncope in Diagnosis and Treatment [Keywords:] diagnosis and treatment of vasovagal syncope Analysis Syncope is a common clinical symptom, often lasting several seconds to several minutes can be self-healing, and its essence is caused by various reasons, a temporary reduction in cerebral blood flow. 3s are usually suspended over the heart blood may occur near syncope, 5s cent were syncope, convulsions occurred more than 10s, ie A - Adams syndrome. In 2004, European Society of Cardiology (ESC) Syncope in the diagnosis and treatment guidelines for the classification main causes of syncope include neurally mediated, orthostatic, arrhythmia nature of organic heart disease or heart and lung disease, cerebral vascular disease (mainly steal syndrome), etc. [1]. Etiologic diagnosis of syncope complex, excluding cardiac, neurological, and metabolic factors that lead to syncope, the neurally mediated may be accounted for 43.5%, of which vasovagal syncope (vasovagal syncope, VVS) can account for 35% [2 ]. Court is now on the diagnosis and treatment of cases with 86 cases of VVS literature review, the report is as follows. A clinical data 1.1 General Information From December 2005 to March 2007 due to ‘syncope of unknown origin’ treatment, diagnosis of vasovagal syncope in 86 patients, of which 40 cases of male and female 46 cases, aged 26 ~ 84 (56 ± 11.7) years of age. 1.2 Inspection Method Of 86 patients underwent a detailed general history taking, physical examination, routine laboratory examination, lying upright blood pressure, electrocardiogram, chest X-ray, echocardiography, ECG, some patients still OK EEG, head CT, head MRI skull Doppler ultrasound (TCD), as well as the electrophysiological and coronary angiography and other tests, excluding cardiogenic, neurogenic, metabolic factors, such as syncope, line-up tilt testing can be confirmed. Head-up tilt test: The test will be suspended before the 3d of all drugs a