Hemodynamic orthostatic dizziness/vertigo: Diagnostic criteria
Hemodynamic orthostatic dizziness/vertigo: Diagnostic criteria
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DOI：
10.3233/ves-190655
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发表时间：
2019-01-01
影响因子：
2.3
通讯作者：
Kim, Ji-Soo
中科院分区：
文献类型：
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作者：
Kim, Hyun Ah;Bisdorff, Alexandre;Kim, Ji-Soo
本文介绍了将纳入国际前庭疾病分类（ICVD）的血流动力学直立性头晕/眩晕的诊断标准。定义血流动力学直立性头晕/眩晕的诊断标准的目的是帮助临床医生理解与直立性头晕/眩晕相关的术语，并区分全脑灌注不足引起的直立性头晕/眩晕与其他病因引起的直立性头晕/眩晕。血流动力学直立性头晕/眩晕的诊断需要：A）直立位时出现或出现的头晕、不稳定或眩晕发作5次或5次以上，通过坐下或躺下缓解; B）直立性低血压、体位性心动过速综合征或直立或直立倾斜试验期间记录的晕厥;以及C）其他疾病或障碍不能更好地解释。可能的血液动力学直立性头晕/眩晕定义如下：A）直立位时出现或出现的头晕、不稳定或眩晕发作5次或5次以上，通过坐下或躺下缓解; B）至少有一种以下伴随症状：全身无力/疲倦、思考/集中困难、视力模糊和心动过速/心悸;和C）不能更好地由另一种疾病或病症解释。这些诊断标准是通过对90年来关于血流动力学直立性头晕/眩晕、体位性低血压或心动过速和自主性头晕的研究进行广泛回顾而得出的。直立性血压和心率的测量对于筛查和记录直立性低血压或体位性心动过速综合征以确定血流动力学直立性头晕/眩晕的诊断非常重要。
This paper presents the diagnostic criteria for hemodynamic orthostatic dizziness/vertigo to be included in the International Classification of Vestibular Disorders (ICVD). The aim of defining diagnostic criteria of hemodynamic orthostatic dizziness/vertigo is to help clinicians to understand the terminology related to orthostatic dizziness/vertigo and to distinguish orthostatic dizziness/vertigo due to global brain hypoperfusion from that caused by other etiologies. Diagnosis of hemodynamic orthostatic dizziness/vertigo requires: A) five or more episodes of dizziness, unsteadiness or vertigo triggered by arising or present during upright position, which subsides by sitting or lying down; B) orthostatic hypotension, postural tachycardia syndrome or syncope documented on standing or during head-up tilt test; and C) not better accounted for by another disease or disorder. Probable hemodynamic orthostatic dizziness/vertigo is defined as follows: A) five or more episodes of dizziness, unsteadiness or vertigo triggered by arising or present during upright position, which subsides by sitting or lying down; B) at least one of the following accompanying symptoms: generalized weakness/tiredness, difficulty in thinking/concentrating, blurred vision, and tachycardia/palpitations; and C) not better accounted for by another disease or disorder. These diagnostic criteria have been derived by expert consensus from an extensive review of 90 years of research on hemodynamic orthostatic dizziness/vertigo, postural hypotension or tachycardia, and autonomic dizziness. Measurements of orthostatic blood pressure and heart rate are important for the screening and documentation of orthostatic hypotension or postural tachycardia syndrome to establish the diagnosis of hemodynamic orthostatic dizziness/vertigo.