晕厥指南（Syncope guidelines）.docVIP

晕厥指南（Syncope guidelines） Syncope guidelines.Txt eat, eat, not sin, fat people have the right to gain weight! Slim behind, is actually haggard, love your people do not care about your waistline! Try the taste of long food, even if it is a kind of beauty! The most terrible thing about losing weight is not hunger, but the fact that you are not hungry, but you always feel that you must eat something before you are practical. Initial evaluation The starting point for syncope assessment is careful consultation of medical history and physical examination, including supine and orthostatic blood pressure measurements. In most young patients without heart disease, there is no need for further examination to make a diagnosis of neuro mediated syncope. In addition, routine 12 lead ECG examinations should be performed, defined as initial evaluation. In the initial evaluation, we should make clear the following 3 key issues: Loss of consciousness is syncope? Any heart trouble? Are there any important clues in the history of the diagnosis? Guidelines for the diagnosis and treatment of syncope in the European College of Cardiology (two) Wu Yang Feng Xinqing compiled Hu Dayi. 12, 2 pages The primary diagnostic problem is the identification of real syncope and other non fainting diseases with transient loss of consciousness, which also affect the choice of subsequent diagnostic methods (see Part 1, classification and table 1). Apart from the important prognostic significance of heart disease, cardiac syncope can be excluded if there is no heart disease (with few exceptions). A recent study noted that heart disease is an independent predictor of cardiogenic syncope, with a sensitivity of 95% and a specificity of 46%; in contrast, heart disease is excluded in 97% of patients without cardiac syncope. Finally, accurate acquisition of the medical history itself may lead to a diagnosis of syncope, and may indicate which evaluation method to follow (see the second part, initial evaluation).