Guidelines for the Diagnosis and Management of Syncope (2009)

Abstract

Рабочая группа по диагностике и лечению обмороков Европейского общества кардиологов (ESC) Подготовлены в сотрудничестве с Европейской ассоциацией сердечного ритма (EHRA) 1 , Ассоциацией сердечной недостаточности (HFA) 2 и Обществом сердечного ритма (HRS) 3 Одобрены Европейским обществом неотложной медицины (EuSEM) 4 , Европейской федерацией внутренней медицины (EFIM) 5 , Европейским обществом гериатрической медицины (EUGMS) 6 , Американским обществом гериатрии (AGS), Европейским неврологическим обществом (ENS) 7 , Европейской федерацией обществ вегетативной нервной системы (EFAS) 8 , Американским обществом вегетативной нервной системы (AAS) 9 Авторы (члены рабочей группы): Angel Moya (Председатель) (Испания)*, Richard Sutton (Сопредседатель) (Великобритания)*

Association between psychological complaints and recurrence of vasovagal syncope

“…Recurrent VVS was defined as the occurrence of at least three syncopes in the last 2 years prior to study participation. The diagnosis of VVS was based on the definition of the ESC-guidelines [20].…”

“…Syncope was defined as self-limited complete loss of consciousness with a duration of less than 5 min caused by a transient global cerebral hypoperfusion [20]. Syncope can be triggered by several conditions, such as prolonged standing, pain, and emotional distress and is often accompanied by signs and symptoms such as pallor, sweating, and nausea [20].…”

“…Reflex syncope is caused by systemic arterial hypotension resulting from reflex vasodilatation, bradycardia or both [20]. Vasovagal syncope (VVS), mediated by emotional or orthostatic stress [20], is the most common cause of both reflex syncope and T-LOC [26].…”

“…The majority of patients with occasional reflex syncope respond to the aforementioned non-pharmacological treatment measures [29]. If patients do not respond to nonpharmacological treatment, pharmacological or pacemaker treatment might be considered [20].…”

Non‐Epileptic Paroxysmal Events of Childhood

“…Syncope is an episode of transient loss of consciousness, often associated with loss of tone, due to cerebral hypoperfusion, characterized by quick onset, short duration, and quick and complete recovery [29]. This paroxysmal event is common in children, particularly older children and adolescents.…”