641人の患者の再発性シンコープとプレシンコープに関する観察
C J Mathias1, K Deguchi, I Schatz
1Division of Neuroscience and Psychological Medicine, Imperial College School of Medicine at St Mary's, London, UK. c.mathias@ic.ac.uk
Lancet (London, England)
|February 24, 2001
まとめ
自律的調査は,他の原因が排除された後に再発性シンコプの症例の診断を助けます. この研究では,患者の40%以上で神経媒介性失眠が認められ,患者の管理が改善されました.
科学分野:
- 神経学 神経学とは
- 心臓病学 心臓病学
- 自律的機能障害 (Autonomous Dysfunction) とは,自律的機能障害 (Autonomous Dysfunction) とは,自律的な機能障害 (Autonomous Dysfunction) とは,自律的な機能障害 (Autonomous Dysfunction) とは,自律的な機能障害 (Autonomous Dysfunction) とは,自律的な機能障害 (Autonomous Dysfunction) とは,自律的な機能障害 (Autonomous Dysfunction) とは,自律的な機能障害 (Autonomous Dysfunction) とは,自律的な機能障害 (Autonomous Dysfunction) とは,自律的な機能障害 (Autonomous Dysfunction) とは,自律的な機能障害 (Autonomous Dysfunction) とは,
背景:
- 昏睡は,すべての年齢に影響を与える一般的な,潜在的に障害を与える状態です.
- 神経学的,心臓学的,および代謝的原因を除外した後,診断は困難です.
- 自律的機能障害は,原因不明のの潜在的根本的な原因である.
研究 の 目的:
- 自律的調査が再発性シンコープとプレシンコープの患者の診断に役立つかどうかを判断する.
- Tertiary Referral Centerにおける自律的テストの診断成果を特定するために.
主な方法:
- 1992年から1998年にかけて報告された再発性シンコペ/プレシンコペを患った641人の患者の遡及的分析.
- 既知の自律機能不全の患者の除外;スクリーニングと追加の自律機能検査の評価.
- 非自律的な神経学的,精神的,その他の潜在的な原因の評価.
主要な成果:
- 自律的調査では,慢性自律的機能不全が4.8%で確認され,神経媒介性シンコープが43.5%で診断された (血管道シンコープ35%).
- その他の原因は,心血管疾患 (8.3%),非自律神経疾患 (6.7%),精神疾患 (8.7%) でした.
- 原因不明の昏睡は,患者の27.9%に留まっていました.
結論:
- 自律的調査は,一般的な原因が排除されたときに,再発性シンコペの管理に価値があります.
- それは,さまざまな診断要因や特定の状態を決定,確認,または排除するのに役立ちます.
- このアプローチは,患者の診断の明確性とその後の管理を大幅に改善することができます.
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