|本期目录/Table of Contents|

[1]王 磊,王立军,张启高,等.植入式心脏事件循环记录器诊断不明原因晕厥1例报告[J].医学研究与战创伤救治(原医学研究生学报),2015,17(04):386-388.[doi:10.3969/j.issn.1672-271X.2015.04.016]
 WANG Lei,WANG Li-jun,ZHANG Qi-gao,et al.Comment on diagnosing unexplained syncope with implantable loop recorder: a case report[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2015,17(04):386-388.[doi:10.3969/j.issn.1672-271X.2015.04.016]
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植入式心脏事件循环记录器诊断不明原因晕厥1例报告()

《医学研究与战创伤救治》(原医学研究生学报)[ISSN:1672-271X/CN:32-1713/R]

卷:
第17卷
期数:
2015年04期
页码:
386-388
栏目:
出版日期:
2015-07-20

文章信息/Info

Title:
Comment on diagnosing unexplained syncope with implantable loop recorder: a case report
作者:
王 磊王立军张启高宫剑滨
210002 江苏南京,南京军区南京总医院心脏内科
Author(s):
WANG Lei WANG Li-jun ZHANG Qi-gao GONG Jian-bin.
Department of Cardiology, Nanjing General Hospital of Nanjing Military Command, Nanjing, Jiangsu 210002, China
关键词:
植入式心脏事件循环记录器晕厥诊断学
Keywords:
implantable loop recorder syncope diagnostics
分类号:
R459.7;R540.41
DOI:
10.3969/j.issn.1672-271X.2015.04.016
文献标志码:
A
摘要:
目的 了解植入式心脏事件循环记录器(Implantable loop recorder,ILR)对不明原因晕厥的诊断价值。方法 1例反复多次因晕厥住院并经常规检查无法明确病因的患者在局麻下行ILR植入。结果 术后11个月患者再发晕厥,随即经程控调阅发病时心电记录数据发现心脏停搏17 s,明确患者晕厥原因。结论 ILR是对临床鉴别不明原因晕厥有诊断价值的工具。
Abstract:
Objective To investigate the diagnostic value of implantable loop recorder (ILR) in diagnosis of unexplained syncope. Methods ILR was subcutaneously implanted in a patient suffered from unexplained syncope occasionally despite kinds of routine examinations. Results Syncope happened 11 months after ILR implanted, and then the cause of syncope was brought to light by the real time ECG record of 17 s asystole. Conclusion ILR is one sense edge-tool for diagnosis of uncertain syncope.

参考文献/References:

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[11]Krahn AD,Klein GJ,Yee R,et al.Cost implications of testingstrategy in patients with syncope:randomized assessment of syncope trial[J].J Am Coll,2003,42(3):495-501.
[12]Providência R,Candeias R,Morais C,et al.Financial impact of adopting implantable loop recorder diagnostic for unexplained syncope compared with conventional diagnostic pathway in Portugal[J].BMC Cardiovasc Disord,2014,14:63-73.
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备注/Memo

备注/Memo:
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更新日期/Last Update: 2015-07-20