李金生;
Li Jinsheng Department of Internal Medicine, Affiliated Hospital

• 1: 贵阳医学院附院内科

摘要(Abstract)：

将41例原因不明晕厥病人的电生理检查(EPS)、心电图(ECG)及动态心电图(Hotler)结果作对比分析,结果表明:总体上,三者结果之间无一定关系,但对电生理指导治疗有效的20例分析的结果表明,ECG及Holter对房室结功能不良、希蒲系统功能不良及室性心动过速引起晕厥者,可能有提示作用,并可提供EPS的适应症。
The analysis of Electrophysiolgic Study (EPS), Electrocardiography (ECG) and Holter ECG (Holter) in 41 Patients with unexplained syncope showed an indeterminate relationship among the tests.However, after analysing the results of the tests in 20 patients who did not have relapse of syncope by guided therapy, we found that ECG or Holfer might have some suggestive affects for atrioventricular nodal function or His-Perkijue system function or ventricular tachycardia as a cause of syncope and might provide some indications for EPS especially in patients with organic heart disease.That frequent ventricular premature beats or nonsustained ventricular tachycardiac were found by Holter ECG in patients with organic heart diseases may suggest the existence of a causative TV of syncope.

关键词(KeyWords)： 电生理检查;心电图;动态心电图;晕厥
electrophysiologic study;electrocardiogrphy;holter electrocardiography;syncope

Abstract:

Keywords:

基金项目(Foundation):

作者(Authors): 李金生;
Li Jinsheng Department of Internal Medicine, Affiliated Hospital

DOI: 10.19367/j.cnki.1000-2707.1990.01.004

参考文献(References)：

• 1． Teichman SL, et al. The value of electrophysiologic studies in syncope of undetermined origin: Report of 150 cases. Am Heart J 1985; 11: 469．
• 2． Fisher JD. Role of electrophysiologic testing in the diagnosis and treatment of patients with unknown and suspected bradycardias and tachycardias. Prog Cardiovasc Dis 1981; 24 : 25．
• 3． Josephson ME, et al. Clinical cardiac electrophysiology, techniques and interprctation. philadelphia J. B. lippinot Company 19 79．
• 4． Reiffel JA. Electrophysiologic testing for recurrent syncope Arrhythmias and conduction disturbances 1986; 7: 65．
• 6． Reiffel JA, et al. Electrophysiologic testing in patients with recurrent syncope. Are results predicted by prior ambulatory mornitoring? Am Heart J 1985; 5: 11 46．
• 6． Gibson TC, et al. Diagnosticefficacy of 24-hour electrocardiographic mornitoring for syncope. Am J Med 1983; 309: 197．
• 7． Haddad RM, et al. Syncope as a symptom; A practical approach to etiologic diagnosis. Postgraduate Med 1986; 2: 48．
• 8． Morady F. The evaluation of syncope with electrophysiologic studies. Cardiol Clinic 1986; 3: 51
• 9． Morady F. Electrophysiologic testing in the management of patients with unexplained syncope. In Mandel WJ, Cardiac Arrhythmias: their mechanisms, diagnosis and management, Philadelphia: J. B.Lippinot Company 1987: 622-637．
• 10． Denes P, et al. The role of elcctrophysiologic studies in the management of patients unexplained syncope. Pace 1985; 8: 424．

文章评论(Comment)：