晕厥诊断新流程(国外英文资料).docVIP

晕厥诊断新流程 The syncope diagnosis of the new process ? ? Syncope is a Transient Loss of consciousness caused by the reduced perfusion of brain tissue Consciousness, TLOC) characterized by rapid onset, short duration, and spontaneous recovery. In the United States, more than one million people are affected each year, and more than half a million new cases are reported annually, accounting for 1 to 6 percent of hospitalized patients, and 3 percent of emergency patients. Over the years, the diagnosis and treatment of syncope has been chaotic, and the ESC syncope diagnosis and treatment team has updated and issued the 2009 syncope diagnosis and treatment guidelines. A, classification, In 2009 ESCs syncope diagnosis and treatment guidelines were classified for common causes of syncope, to provide insights for diagnosis and treatment. In the new guidelines, three common types of syncope were listed: reflexive syncope, orthostatic hypotension (postural hypotension), cardiogenic syncope Second, diagnostic procedure Initial assessment ? ? Answer the following key questions: Is it a syncope? Have you identified the cause of the disease? Is there any information on risk factors such as cardiovascular events or death? ? ? If there is a detailed clinical history, syncope and non syncope caused by reason of transient loss of consciousness in the majority of patients can make differential diagnosis, but sometimes it is rather difficult, at this time should be back to answer the following questions: Is the loss of consciousness complete? Is the loss of consciousness transient and short-lived? Is the patient fully recovered and has no sequela? Does the patient lose his posture? Some of the most important questions in clinical history must be answered (see chart 1). Some clinical history, physical examination and electrocardiographic performance can confirm the cause of syncope, allowing no further evaluation. In some cases, the initial assessment is not determined by the diagnosis, onl