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一过性晕厥的风险评价流程(国外英文资料)
一过性晕厥的风险评估流程
The risk assessment process of a sexual syncope
Chinese journal of cardiovascular medicine? The 2013-08-22? share
Author: lv fei (clinical electrocardiology laboratory at the university of Minnesota medical center); David Benditt review
One of the clinical syndromes caused by the transient disruption of oxygen in the brain is a loss of sexual consciousness (TLOC) or syncope. The disruption of brain nutrition during syncope is caused by a brief loss of blood flow to the brain. The most common cause of syncope is the decrease in blood pressure in an instant reversible systemic blood pressure, which leads to lower blood pressure than the level required to maintain cerebral perfusion.
The real onset of syncope is the loss of consciousness of an acute episode, or the absence of any premonitory symptoms. Although premonitory symptoms occur before syncope, the loss of consciousness usually occurs within 10 to 20 s of the disease. Recovery is usually fast and complete without medical intervention and no new neurological legacy. Based on the mechanism that led to the reduction of cerebral perfusion, the classification of the causes of syncope was summarized in table 1, according to the European society for cardiology (ESC) syncope.
The diagnostic evaluation process of syncope
? ? ? Syncope is a more difficult condition for physicians who are first diagnosed with syncope. First, the patient is usually recovered, so he cannot find the positive signs to diagnose the cause. Second, there are many causes to consider. In addition, patients or witnesses may be unable to provide the correct medical history details because of an accident. Finally, the time limit for detailed assessments in the emergency department is limited.
Often, syncope itself is not a life-threatening disease, but syncope can lead to poor health outcomes such as physical injury and poor quality of life. Syncope may also prompt patients to have potentially life-threatening diseases, such as severe o
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