| Item type |
Journal Article(1) |
| 公開日 |
2020-09-01 |
| タイトル |
|
|
タイトル |
Head up tilt試験を用いた神経調節性失神（Neurally mediated syncope:NMS）の病型診断と治療戦略の検討 |
| その他(別言語等)のタイトル |
|
|
その他のタイトル |
An Investigation of the Diagnosis and Treatment Strategy for Neurally Mediated Syncope Using Head-Up Tilt Testing |
| 作成者(その他言語) |
小田切, 久八
篭島, 充
木下, 修
池田, 宇一
|
| 公開者(その他言語) |
|
|
|
姓名 |
信州医学会 |
| 書誌情報 |
信州医学雑誌
巻 54,
号 4,
p. 189-195,
発行日 2006-08
|
| 言語 |
|
|
言語 |
jpn |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
neurally mediated syncope |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
head-up tilt test |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
disopyramide |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
β-blocker |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
神経調節性失神 |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
ヘッドアップティルト試験 |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
ジソピラミド |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
β-blocker |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| アクセス権 |
|
|
アクセス権 |
metadata only access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_14cb |
| 内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
Neurally mediated syncope (NMS) is an important cause of recurrent syncopal episodes. We performed head-up tilt testing (HUT) with isoproterenol provocation in 27 patients (10 males and 17 females) who were suspected of having NMS between 2001 and 2006 at Joetsu General Hospital. Of the 27 patients, 20 (5 males and 15 females; mean age, 57.7 years) had syncope; five of these (25%) had syncope due to bradycardia or cardiac arrest (cardioinhibitory type), 9 (45%) due to hypotension (vasodepressor type), and 6 (30%) due to bradycardia with hypotension (mixed type). We selected treatment methods based on the type of syncope. DDD pacemakers with a rate drop response algorithm were implanted in the patients with the cardioinhibitory type. β-blocking agents and disopyramide were administered to patients with the vasodepressor and mixed types, respectively. During the follow-up period,17 patients (85%)were syncope-free and two (cardioinhibitory type) had one episode of syncope. However, after adjustment of the pacemaker algorithm, they were syncope-free. One patient (cardioinhibitory type) died from an accidental fall. Careful documentation of history and HUT are necessary for the diagnosis and treatment of NMS. We believe that the prognosis of NMS is good if treatment is selected based on the type of syncope. |
| 日付 |
|
|
日付 |
2015-09-24 |
|
日付タイプ |
Created |
| 資源タイプ |
|
|
内容記述タイプ |
Other |
|
内容記述 |
Article |
| フォーマット |
|
|
内容記述タイプ |
Other |
|
内容記述 |
application/pdf |
| その他の資源識別子 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
信州医学雑誌 54(4): 189-195(2006) |
| 資源識別子URI |
|
|
識別子 |
http://hdl.handle.net/10091/3689 |
|
識別子タイプ |
HDL |
| ISSN |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0037-3826 |
| 処理レコードID(総合目録DB) |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN00120815 |
| 著者版フラグ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
https://soar-ir.repo.nii.ac.jp/?action=repository_action_common_download&item_id=4236&item_no=1&attribute_id=65&file_no=1
