基于生物标记分子的儿童血管迷走性晕厥与体位性心动过速综合征临床鉴别诊断  

The differential diagnosis of vasovagal syncope and postural tachycardia syndrome in children based on biomarkers

作　　者：田宏[1] 

机构地区：[1]复旦大学附属儿科医院心血管中心,心电与心功能室,上海201102

出　　处：《中国实用儿科杂志》2016年第8期572-574,共3页Chinese Journal of Practical Pediatrics

摘　　要：血管迷走性晕厥(VVS)与体位性心动过速综合征(POTS)是儿童及青少年自主神经介导性晕厥中最为常见的两种类型,临床有时难以区分。明确诊断需进行直立倾斜试验,随着转化医学的开展,硫化氢(H2S)及血清铁等内源性生物标记物在VVS及POTS的诊断预测和个体化治疗方面已取得了重要的临床价值。Vasovagal syncope（VVS） and postural orthostatic tachycardia syndrome （POTS） are the two common types of neurally mediated syncope in children. It is sometimes hard to identify the VVS from POTS merely depending on the symptoms. Studies of translational medicine recently have shown that the circulating biomarkers, hydrogen sulfide （H2S） and serum iron both have predict value in assessing the therapeutic efficacy and differentiating between VVS and POTS.

关 键 词：儿童 血管迷走性晕厥 体位性心动过速综合征 

分 类 号：R72[医药卫生—儿科]