The man in the 50th day suddenly fainted 2 times within 30 days, it turned out to be "too strong"

Author:Changsha Evening News on Chang Time:2022.09.02

Changsha Evening News, Changsha, September 2 (All media reporter Yang Yunlong Correspondent Zhou Haibo Peng Lefang) In one month, Mr. Liu, 51, encountered two suddenly coma twice, and his family thought he had a "strange disease". The doctors of the Hunan Provincial People's Hospital finally found the cause of the cause -vascular vibrant syncope. Today, Xiao Chunxia, ​​deputy chief physician of the ECG room of the hospital, explained that the vagus nerve reduces blood pressure and slows heartbeat, and the sympathetic nerves increase blood pressure and accelerate the heartbeat. There is a short -term conscious loss.

A month ago, Mr. Liu, a chimney installed worker who lived in Yueyang, Hunan, suddenly became coma and sweaty. After 3 to 5 minutes, he woke up by himself, but did not pay attention to and handle it. On August 24th, Mr. Liu broke out again at 9 o'clock that night due to fatigue and left -foot injury.

Why did it happen twice in 1 month? In order to further identify the cause, Mr. Liu came to the neurology area of ​​the Hunan Provincial People's Hospital on August 26. After improving various examinations, after excluding related diseases such as brain -derived syncope, cardiology syncope, orthodox hypotension, and hypoglycemia, on August 31st, the ECG deputy chief physician Xiao Chunxia and the attending doctor of the cardiology of the cardiology department were Liu The gentleman conducted an upright tilt test, and the test results were positive. At present, patients are undergoing further targeted treatment in the hospital.

"Vascular vagilulation syncope is because the body's autonomous nerve regulation is abnormal." Xiao Chunxia explained that the vagus nerve reduces the blood pressure and slows down the heartbeat, which makes people "calm"; the sympathetic nerve will increase the blood pressure and the heartbeat will be accelerated. "Get up, the two nerves of normal people can" cooperate "well, so as to keep people normal. However, some people's vagus nerves are "too strong", which will suddenly lead to low blood pressure and sudden slow 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 examinations of cardiovascular difficulties required in the construction of the country's cardiovascular regional medical center." Xiao Chunxia said that the test can be used for indigenous cause syncope Checking is a single syncope incident (such as trauma or high -risk occupation), or repeated syncope in the case of unknown causes of recurrent seizures and high risk. Wait 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.

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