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?? Syncope

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Syncope Ren Ji Hospital SSMU Dept. of Cardio. SHEN JieYan MD. Definition of Syncope 1-3min) ... – PowerPoint PPT presentation

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Title: ?? Syncope


1
??Syncope
  • Ren Ji Hospital SSMU
  • Dept. of Cardio.
  • SHEN JieYan MD.

2
?????Definition of Syncope
  • ????????(1-3min)????,????,????????
  • ?????????510s???? lt60mmHg,????,?????

3
?????Etiologies of Syncope
  • ?. ????? Cardiac Syncope?????
  • 1. ????
  • (1)???????AS HCM(IHSS) PS PH
  • (2)???????MS ???
  • 2. ????
  • (1)??????????????,?-? AVB
  • (2)???????????????,???????
  • 3. ???MI CAD ?????
  • 4. ????????????????,???????

4
????? Etiologies of Syncope
  • ?. ??????? Reflex-Mediated Vasomotor Instability
    Syndromes
  • ? ????????? Vasovagal syncope
  • ? ??????? Situational Syncope ???????????
  • ? ????????? Carotid Sinus Syncope
  • ? ?????(?????????) Orthostatic Hypotension
  • ???(???) ???? ?
  • ???(?????, ????????,???, ????,?? ??????)

5
????? Etiologies of Syncope
  • ?. ?????
  • ? ??????
  • TIA(??????,???,????,????)
  • ???
  • ??
  • ? ??????
  • ?????, ???, ????
  • ?. ?????
  • ???, ???, ???, ????, ???????,
  • ????(??)
  • ?. ?????
  • ?????,??????,?????

6
?????Diagnostic Evaluation
  • 1. ??????????
  • ?? ?? ?? ??
  • ?? ?? ?????
  • 2. ?????????

7
????
  • 1.???????,??,??
  • 2.??????,??????,??????
  • 3.????Holter, ????, ?????, ?????
  • 6.???,??CT,???,?????,???
  • 5.???,??,??,????
  • 7.??????????,????????,?

8
????????
  • ?????????????????? ?????????
  • ????????????????? ???????
  • ?????????
    ??????
  • ????????
    ?????????
  • ???????????
    ??????
  • (???,??,????)
  • ????(??????????????) ????????
  • ????
    AS, IHSS, PS, PH, PE,

  • MS, CAD
  • ???????????????????? TIA, ???,?
  • ????
    ???????
  • ???????
    ??

9
????????? Vasovagal syncope
  • 1. ????58??
  • 2.????, ??, ??, ??, ????, ??, ??, ??, ??, ????,
    ??????.
  • 3. ?? ??, ??, ????, ????, ???, ?? (BP?HR?)

10
????????? Vasovagal syncope
  • 4. ?? ?????? upright tilt testing
  • ?????????????????????????????????????????????????
    ?,????????,???????
  • ??
  • ?? ???????????(10-60min,??24min)?????BP?HR?
  • ????????,???
  • 5 . ??1)????? BP?HR?,????
  • 2)????? BP?, ß-blocker??,????

11
?????????Carotid Sinus Syncope
  • ?????????(????,??,????)???????? BP?HR???
  • ?50?, ???,?????,???
  • ??????? BP?HR?
  • ????? BP?
  • ???
  • ????????
  • ????? 0.3 tid po.
  • ???

12
??
  • ????????
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