Cardiovascular syncope is the most common cause of drop attacks in the elderly

被引：29

作者：

Dey, AB ^{[1
]}

Stout, NR ^{[1
]}

Kenny, RA ^{[1
]}

机构：

[1] ROYAL VICTORIA INFIRM,CARDIOVASC INVEST UNIT,NEWCASTLE TYNE NE1 4LP,TYNE & WEAR,ENGLAND

来源：

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 1997年 / 20卷 / 03期

关键词：

drop attack; carotid sinus syndrome; syncope;

D O I：

10.1111/j.1540-8159.1997.tb03911.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Drop attacks are defined as a sudden loss of postural tone without loss of consciousness. The mechanism is often unknown. This report examines findings in consecutive elderly patients with drop articles referred to a dedicated ''syncope and falls'' center, Thirty-five patients were included. A diagnosis was established in 25 (71%); cardioinhibitory cartoid sinus syndrome (CSS) or mixed CSS in 15, vasodepressor GSS in 3, orthostatic hypotension in 5, vasovagal syncope in 1, and gait imbalance in 1. In 21%, more than one pathological diagnosis was present. In conclusion, absence of a history of syncope is unreliable in elderly patients, and these individuals should be routinely investigated for hemodynamic changes during carotid massage and standing.

引用

页码：818 / 819

页数：2