平板运动试验诱发晕厥的原因分析  

Analysis of Causes of TET-induced Syncope

作　　者：李丽宏[1] 魏卫国[1] 刘万合 

机构地区：[1]石家庄市第一医院功能科,石家庄050011

出　　处：《中国医药导刊》2011年第5期737-738,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨平板运动试验(TET)诱发晕厥的原因及预防措施。方法:分别采用北医三院方案和Modified Bruce方案对患者行TET。结果:4982例TET实施北医三院方案,9例发生晕厥,3743例TET实施Modified Bruce方案无晕厥发生。结论:TET引发晕厥原因以血管迷走性多见,剧烈运动引起血流动力学障碍严重时可引发心源性晕厥。研究表明延长运动时间可增加晕厥发生率,并不增加诊断准确性。Objective：To explore the causes and precautions of TET induced syncope.Methods：Patients received TET in the mode of Bei yi san yuan and in the mode of modified Bruce respectively.Results：4982 patients received TET in the mode of Bei yi san yuan,9 cases were positive.3743 patients received TET in the mode of modified Bruce,No patients undergon syncopy.Conclusion：The most common cause of TET induced syncope is vasovagal syncope,Severe hemodynamic dysfuuction caused by strenuous exercise bring about cardiac syncope.The study show that prolonging TET time may increase the incideace of syncope, but don＇t increase the diagnostic accuracy.

关 键 词：平板运动试验 晕厥 原因 

分 类 号：R540.4[医药卫生—心血管疾病]