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  • Klinične značilnosti bolnikov s sinkopo in diagnostika = Clinical characteristics of patients with syncope and diagnostics
    Šinkovec, Matjaž, 1955- ...
    Background. The objective of our prospective clinical study was to determine charactetistics of patients with recent syncope. In addition, our objective was to determine the cause of syncope and to ... assess the efficacy of diagnostictests, recommended in the literature. This is the first study of this kind in our country. Methods. Clinical examination and ECG were performedby a uniform protocol. According to the working diagnosis of syncope - cardiac, reflex (vasovagal, situational), neurological, orthostatic, due to drug side efects and unexplained or syncope-like event in neurotic person or epilepsy - we performed head-up tilt-test (HUT), different ECG- monitoring tests, echocardiogram, neurological examination and EEG, psychiatric examination, electrophysiological examination nad cardiac catheterisation. Results. In 104 patients (mean 51 years, 52 females), we found out that 50% ofpatients suffered at least minor trauma during the syncopal episode. Trauma was severe in 10%. How-ever, the prognosis of our patients was good. The first-year mortality after syncope was 3% and one year incidence of recurrent syncope was 6.65. Almost half of our syncope patients had arterial hypertension and one-third orthostatic hypotension. We detected 4 patients with valvular heart disease - all with aortic stenosis. The history, physical examnation and ECG gave the best diagnostic results for syncope evaluation, followed by HUT and ECG-monitoring tests. In addition, echocardiogram, neurological examination and EEG were useful in some patients. The sensitivityof HUT was low in patients with situational syncope. The most common was reflex syncope (37%) with vasovagal type twice as often as situational type, followed by cardiac (31%) and unexplained syncope (26%). (Abstract truncated at 2000 characters.)
    Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 69, št. 9, sep. 2000, str. 579-586)
    Vrsta gradiva - članek, sestavni del
    Leto - 2000
    Jezik - slovenski
    COBISS.SI-ID - 12153049

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