血管迷走性晕厥手术治疗的现状与展望
Current Status and Prospect of Non-surgical Treatment of Vasovagal Syncope
贯玲儿 1张海澄1
作者信息
- 1. 北京大学人民医院 心内科 急性心肌梗死早期预警和干预北京市重点实验室,北京 100044
- 折叠
摘要
血管迷走性晕厥作为晕厥中最常见的一种形式,心脏抑制型晕厥患者经随机临床试验证实有效的药物疗法有限,可建议使用永久性起搏器治疗.本文梳理了起搏器治疗血管迷走性晕厥中曲折发展经历并总结了原因,根据指南整理了目前适用于起搏治疗的患者类型以及应用的局限性,心脏神经消融术可能成为血管迷走性晕厥患者的另一种选择,但尚需要大样本随机对照试验证实其安全性、有效性以及适用人群.
Abstract
Vasovagal syncope is one of the most common forms of syncope.There are limited drug therapy options for patients with cardiosuppressive syncope,and permanent pacemaker therapy is recommended.This article reviews the tortuous development of pacemaker implication in the treatment of vasovagal syncope and summarizes the underlying reasons,and potential patients,who might benefit from pacing therapy and the limitations of its application according to the current guidelines.In the future,cardioneuroablation might become a therapeutic choice for patients with vasovagal syncope,the safety,efficacy and suitable patinets groups need to be validated in coming large sample randomized controlled clinical trials.
关键词
血管迷走性晕厥/起搏器/直立倾斜试验/心脏神经消融术Key words
vasovagal syncope/pacemaker/head-up tilt table test/cardioneuroablation引用本文复制引用
出版年
2024
NETL
NSTL
维普
万方数据