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Results of Invasive Electrophysiologic Evaluation in 268 Patients with Unexplained Syncope
作者姓名:吕家高  陆再英  Fredrik Voss
作者单位:Department of Cardiology,Fredrik Voss Wolfgang Schoels Department of Cardiology Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,University Heidelberg,69120,Germany
摘    要:Syncopeisacommonclinicalsymptomwhichmaybecausedbyawidevarietyofetiologies Al thoughnoninvasivetestssuchasambulatoryelectro cardiographicmonitoringandtilttabletesthascon tributedtoasignificantevolutionofthecardial andvasovagalsyncope ,thecausesofsyncoperemainstobeidentifiedinapproximately 5 0 %ofpatientsdespitethesetests Inthosepatientselectrophysiologicstud ieswillhelpassignthecauseofsyncope Inthisstudythefindingsofelectrophysiologicstudiesof 2 6 8pa tientswithunexplainedsyncopewereanalyzed 1…

收稿时间:4 September 2002

Results of invasive electrophysiologic evaluation in 268 patients with unexplained syncope
Lü?Jiagao,Lu?Zaiying.Results of Invasive Electrophysiologic Evaluation in 268 Patients with Unexplained Syncope[J].Journal of Zuazhong University of Science and Technology: Medical Edition,2003,23(3):278-279.
Authors:Lü Jiagao  Lu Zaiying
Institution:1. Department of Cardiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology,Wuhan 430030
2. Department of Cardiology, University Heidelberg, 69120, Germany
Abstract:In order to assess the diagnostic value of invasive electrophysiologic study (EPS) in the patients with unexplained syncope, the electrophysiologic findings of 268 patients with unexplained syncope despite a complete clinical evaluation were analyzed Results showed positive EPS finding was 38% in total patients and 50% in the patients aged >70 years With increasing age, the diagnostic yield of EPS also increased No significant differences of complication rate were found among the different age groups It was concluded that EPS havd high diagnostic value in the patients with unexplained syncope Its complications are few and mild EPS may be recommended in elderly patients with unexplained syncope
Keywords:syncope  elderly  electrophysiology
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