Die kardiogene Synkope

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• 作者：Dr. U. Gerk (1)
  G. Simonis (2)
  J. Machetanz (3)
  F. Pabst (4)
  S. Schellong (1)
  
  1. II. Medizinische Klinik ; St盲dtisches Klinikum Dresden-Friedrichstadt ; Friedrichstr.41 ; 01067 ; Dresden ; Deutschland
  2. Praxisklinik Herz und Gef盲脽e ; Akademische Lehrpraxisklinik der TU Dresden ; Dresden ; Deutschland
  3. Neurologische Klinik ; St盲dtisches Klinikum Dresden-Neustadt ; Dresden ; Deutschland
  4. Klinik f眉r Hals-Nasen-Ohren-Heilkunde ; St盲dtisches Klinikum Dresden-Friedrichstadt ; Dresden ; Deutschland
  
• 关键词：Synkope ; Bewusstseinsverlust ; Ohnmacht ; Herz ; Elektrokardiographie ; Syncopal episode ; Unconsciousness ; Fainting ; Heart ; Electrocardiography
• 刊名：Der Internist
• 出版年：2015
• 出版时间：January 2015
• 年：2015
• 卷：56
• 期：1
• 页码：20-28
• 全文大小：1,050 KB
• 参考文献：1. Del Rosso A, Ungar A, Maggi R et al (2008) Clinical predictors of cardiac syncope at initial evaluation in patients referred urgently to a general hospital. Heart 94:1620鈥?626 CrossRef
  2. Echt DS et al (1991) Mortality and morbidity in patients receiving encainide, flecainide, or placebo. N Engl J Med 324:781鈥?88 CrossRef
  3. Farwell DJ, Sulke AN (2004) Does the use of a syncope diagnostic protocol improve the investigation and management of syncope? Heart 90(1):52鈥?8 CrossRef
  4. Feraco E, Grandinetti O, Lauro A, Cosentino G (1995) The cardiogenic syncope in the elderly: a review on the epidemiology and social costs. Arch Gerontol Geriatr 20(1):1鈥? CrossRef
  5. Gaita F, Giustetto C, Bianchi F et al (2003) Short QT syndrome: a familial cause of sudden death. Circulation 108:965鈥?70 CrossRef
  6. Grossman SA, Fischer C, Lipsitz LA et al (2007) Predicting adverse outcomes in syncope. J Emerg Med 33:233鈥?39 j.jemermed.2007.04.001" target="_blank" title="It opens in new window">CrossRef
  7. Gussak I, Brugada P, Brugada J et al (2000) Idiopathic short QT interval: a new clinical syndrome? Cardiology 94:99鈥?02 CrossRef
  8. Iglesias JF, Graf D, Pascale P, Pruvot E (2009) The implantable loop recorder: a critical review. Kardiovask Med 12(3):85鈥?3
  9. Kosuge M et al (2011) An early and simple predictor of severe left main and/or three-vessel disease in patients with non-st-segment elevation acute coronary syndrome. Am J Cardiol 107:495鈥?00 j.amjcard.2010.10.005" target="_blank" title="It opens in new window">CrossRef
  10. Moya A, Sutton R, Ammirati F et al (2009) Guidelines for the diagnosis and management of syncope. Eur Heart J 30:2631鈥?671 j/ehp290" target="_blank" title="It opens in new window">CrossRef
  11. Ruwald MH, Hansen ML, Lamberts M et al (2013) Prognosis among healthy individuals discharged with a primary diagnosis of syncope. J Am Coll Cardiol 61(3):325鈥?32 j.jacc.2012.08.1024" target="_blank" title="It opens in new window">CrossRef
  12. Ruwald MH, Hansen ML, Lamberts M et al (2012) The relation between age, sex, comorbidity, and pharmacotherapy and the risk of syncope. Europace 10:1506鈥?514 CrossRef
  13. Sarasin FP, Carballo D, Slama S, Louis-Simonet M (2005) Usefulness of 24-h Holter monitoring in patients with unexplained syncope and a high likelihood of arrhythmias. Int J Cardiol 101(2):203鈥?07 j.ijcard.2004.03.016" target="_blank" title="It opens in new window">CrossRef
  14. Sarasin FP, Louis-Simonet M, Carballo D et al (2001) Prospective evaluation of patients with syncope: a population-based study. Am J Med 111(3):177鈥?84 CrossRef
  15. Sarganas G, Garbe E, Klimpel A et al (2014) Epidemiology of symptomatic drug-induced long QT-syndrome and torsade de pointes in Germany. Europace 16:101鈥?08 CrossRef
  16. Seidl K et al (2005) Kommentar zu den Leitlinien zur Diagnostik und Therapie von Synkopen der Europ盲ischen Gesellschaft f眉r Kardiologie und dem Update 2004. Z Kardiol 94:592鈥?12 CrossRef
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Cardiology
  General Practice and Family Medicine
  Internal Medicine
  Gastroenterology
  Hepatology
  Nephrology
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1432-1289

文摘

Background Cardiogenic syncope is a serious clinical event and the cause has to be clarified as rapidly and definitively as possible. Diagnostics With knowledge of the pathophysiological background the reason for syncope can mostly be clarified by taking a thorough medical history. In most cases a physical examination, electrocardiogram (ECG) and echocardiography can provide sufficient evidence for most of the causes. Rhythmogenic syncope, however, often tends to be extremely difficult to diagnose which is why many different instruments have been developed for the detection of changes in heart rhythm. Several drugs can induce syncope by different modes of action and is the reason why particular attention should always be paid to this aspect.