一家三甲大学医院的抬头仰卧试验回顾病历

IF 0.2 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Rizwan Zafar, Mohammad Asad Ali Saleem, A. Niazi, Arsalan Ahmad, Aamir Naseer, Danish Hassan Khan
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引用次数: 0

摘要

目的:晕厥是由瞬间脑灌注不足引起的非创伤性、自限性短暂意识丧失(TLOC)。晕厥可分为正压性、心源性和血管迷走性病因,使用上仰卧位试验(HUTT)进行区分。我们的目的是确定接受 HUTT 治疗的 TLOC 患者的特征。研究方法:我们对 2010 年 1 月至 2020 年 3 月期间在巴基斯坦伊斯兰堡希法国际医院心脏科和神经内科接受 HUTT 治疗的 16 岁以上患者进行了单中心回顾性病历审查。病历回顾了基本人口统计学数据、HUTT 的适应症和结果。结果:我们的研究包括 496 名患者,其中 72.2% 为男性,平均年龄为 51.1 ± 19.08 岁。血管迷走性晕厥是最常见的病因(79.8%,158 例),其次是正位性晕厥(11.6%,23 例)、自主性晕厥(6.1%,12 例)和体位性正位性心动过速综合征(2.5%,5 例)。血管迷走性晕厥分为三个亚型,最常见的是混合型(82.3%,130 例),其次是纯血管抑制型(14.6%,23 例)和心脏抑制型(3.2%,5 例)。最常见的两种前驱症状是意识丧失(45.8%,227 例),伴有或不伴有头晕,其次是单纯头晕(34.5%,171 例)。这两种症状与 HUTT 检测的诊断率相比均有统计学意义(P0.05),并在前驱症状、年龄、性别和 HUTT 检测结果之间进行了比较。结论晕厥最常见的病因是血管迷走,主要是混合型。LOC和头晕与HUTT结果有显著相关性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Retrospective Chart Review of the Head-Up Tilt Table Test at a Tertiary Care University Hospital
Objectives: Syncope is a non-traumatic and self-limiting transient loss of consciousness (TLOC) caused by momentary cerebral hypo-perfusion. It can be classified into orthostatic, cardiac, and vasovagal etiologies, distinguished using the up-tilt table test (HUTT). Our objective was to determine the characteristics of patients undergoing HUTT for TLOC. Methodology: We conducted a single-center retrospective chart review of patients aged > 16 years who underwent HUTT from January 2010 to March 2020 at the cardiology and neurology departments of Shifa International Hospital, Islamabad, Pakistan. Charts were reviewed for basic demographic data and indications and outcomes of HUTT. Results: Our study included 496 patients with 72.2% males and a mean age of 51.1 ± 19.08 years. Vasovagal syncope was the most common etiology (79.8%, 158), followed by orthostatic syncope (11.6%, 23), autonomic syncope (6.1%, 12) and postural orthostatic tachycardia syndrome (2.5%, 5). Vasovagal syncope was divided into three subtypes, with the most common being mixed type (82.3%, 130), followed by pure vasodepressor (14.6%, 23) and cardio-inhibitory (3.2%, 5). The two most common prodromal symptoms were loss of consciousness (45.8%, 227) with or without preceding dizziness, followed by dizziness alone (34.5%, 171). Both symptoms had a statistical significance when compared to the diagnostic yield of HUTT testing (p<0.05). No significant correlation (p>0.05) was found between presenting symptoms, age, gender, and HUTT outcomes. Conclusion: The most common etiology of syncope is vasovagal, predominantly the mixed type. LOC and dizziness were significantly associated with the HUTT yield.
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来源期刊
Pakistan Heart Journal
Pakistan Heart Journal CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
0.20
自引率
0.00%
发文量
64
审稿时长
6 weeks
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