'Cardiogenic vertigo'--true vertigo as the presenting manifestation of primary cardiac disease.
'Cardiogenic vertigo'--true vertigo as the presenting manifestation of primary cardiac disease.
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“心源性眩晕”——原发性心脏病的真性眩晕。
DOI：
10.1038/ncpneuro0125
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发表时间：
2006
期刊：
影响因子：
--
通讯作者：
CamargoJr,CarlosA
中科院分区：
文献类型：
--
作者：
Newman-Toker,DavidE;CamargoJr,CarlosA
一位90岁女性，因短暂意识丧失就诊于医院急诊科，症状为持续约2分钟的旋转性眩晕。她有长期间歇性短暂发作的旋转性眩晕、晕厥前期和非眩晕性头晕病史，可伴或不伴意识丧失。虽然最初归因于症状性颈动脉狭窄，但这些发作持续存在，尽管在她首次晕厥后1年手术恢复了颈动脉血流。病史包括高血压、轻度抑郁、左髋关节炎和年老导致的步态和平衡功能逐渐下降。调查床边病史和检查、非造影头部CT扫描、心电图、经胸超声心动图和床边心脏遥测。诊断病态窦房结综合征或严重反射性心动过缓伴心搏停止，引起复发性、发作性眩晕、晕厥前期，非眩晕性头晕和晕厥（Stokes-Adams发作）。处理放置临时起搏导线，随后手术植入单腔心室（VVI）起搏器。
BackgroundA 90-year-old woman presented to a hospital emergency department with a brief loss of consciousness that was heralded by spinning vertigo lasting approximately 2 min. She had a long history of intermittent brief episodes of rotatory vertigo, presyncope, and non-vertiginous dizziness, occurring either with or without loss of consciousness. Although initially attributed to symptomatic carotid artery stenosis, these episodes persisted, despite surgical restoration of carotid artery blood flow 1 year after her first syncope. Her medical history was otherwise notable for hypertension, mild depression and a gradual decline in gait and balance function attributed to left hip arthritis and older age.InvestigationsBedside history and examination, non-contrast head CT scan, electrocardiogram, transthoracic echocardiogram, and bedside cardiac telemetry.DiagnosisSick sinus syndrome or severe reflex bradycardia with asystole causing recurrent, episodic vertigo, presyncope, non-vertiginous dizziness and syncope (Stokes–Adams attacks).ManagementPlacement of a temporary pacing wire, followed by surgical implantation of a single-chamber ventricular (VVI) pacemaker.