[Initial diagnostic strategy in the case of transient losses of consciousness: the importance of the medical history].
[Initial diagnostic strategy in the case of transient losses of consciousness: the importance of the medical history].
复制标题
[短暂意识丧失情况下的初步诊断策略：病史的重要性]。
DOI：
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复制
发表时间：
2003
期刊：
影响因子：
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通讯作者：
J. Dijk
中科院分区：
文献类型：
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作者：
W. Wieling;K. Ganzeboom;C. Krediet;H. G. Grundmeijer;A. Wilde;J. Dijk
It is estimated that almost half of the people experience a transient loss of consciousness at some time during their life. In young patients (< 35 years) the cause is mostly a reflex syncope. In older patients the common causes are orthostatic and postprandial hypotension, sinus caroticus syndrome, cardiac arrhythmias and valvular disorders. The medical history can identify a probable cause of the transient loss of consciousness in almost all young patients (< 35 years) and in the majority of older patients. A physical examination and an ECG should be performed in all patients who have experienced a transient loss of consciousness, other than those with classical vasovagal syncope, in order to exclude orthostatic hypotension and dangerous cardiac causes.
