The man fainted two unknown reasons within January, and "upright tilt test" helped him find the cause
Author:Hunan Medical Chat Time:2022.09.01
Within 1 month, Mr. Liu, 51, encountered two sudden fainting, and his family thought he had a "strange disease". After passing the upright tilt test inspection at the doctors of the Hunan Provincial People's Hospital, he finally found the cause -vascular vibrant syncope.
A month ago, Mr. Liu, who lived in Yueyang chimney, suddenly coma when he was working, accompanied by sweat.
After 3-5 minutes, it was sober, but did not pay attention and handle.
On August 24th, after Mr. Liu was tired and left -footed, he suddenly became coma at 21:00 that night.
A coma occurred twice within 1 month. In order to further identify the cause, Mr. Liu came to the Hunan Provincial People's Hospital's neurology area on August 26.
After improving various examinations and eliminating related diseases such as brain -derived syncope, cardiology syncope, orthotonic hypotension, and hypoglycemia, on August 31, Deputy Chief doctor Xiao Chunxia in the ECG room, and Liu Wei attended by the Department of Cardiology Liu Wei. The upright tilt test was performed for Mr. Liu.
[Medical staff conducts an upright tilt test for Mr. Liu]
At present, patients will do further targeted treatment.
"Vascular vagilulation syncope is because the body's autonomic nerve regulation is abnormal." Xiao Chunxia explained that the vagus nerve reduces blood pressure and slows down the heartbeat, which means that the sympathetic nerve will increase the blood pressure, the heartbeat is accelerated, and people will make people "Excited", the two nerves of normal people can "cooperate" well, so that people can keep people normal.
However, some people's vagus nerves are "too strong", which will suddenly lead to low blood pressure and suddenly slowing their heartbeat, which will cause hypoxia in the brain and short -term consciousness.
This mixture is easy to recur. Although the risk of death in itself is low, it will increase the psychological burden of patients. The trauma caused by fainting may also threaten patients' lives, and it is easy to be misdiagnosed as atrial fibrillation.
"The upright tilt test is a test method for diagnosis of vascular vascular syncope, and it is also one of the conventional auxiliary examination required for cardiovascular difficulties required in the construction of the National Cardiovascular Regional Medical Center Medical Center."
Xiao Chunxia said that the experiment can be used for indigenous cause syncope, which is the syncope of recurrent attacks that are not approved, and a single syncope incident that occurs under high risk (such as syncope may cause trauma or engage in high risk of high risk. Occupation), or repeated syncope in a no -quality heart disease, etc., suitable for children and adult patients.
Xiao Chunxia reminded that vascular vascular syncope is a relatively good disease, but syncope recurrent seizures can reduce the quality of life and cause accidents.
Therefore, if syncope occurs, you should seek medical treatment early, and then treat the cause before targeted treatment.
(Edit Rainbow. Some pictures source networks, invading deletions)
Hunan Medical Chat Special Author: Zhou Haibo Peng Lefang, Hunan Provincial People's Hospital
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