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Перевод: syncope
[существительное] обморок ; синкопа
Тезаурус:
- On her death certificate the causes were listed as syncope and cardio-vascular degeneration.
- VT has long been recognised as a complication of severe bradyarrhythmias, and less commonly can be the cause of syncope and death in patients with complete atrioventricular block or sinus node dysfunction.
- Syncope is unrelated to plasma concentrations of quinidine or duration of therapy, and torsades de pointes can occur at low ("subtherapeutic") plasma concentrations.
- Patients with congenital LQTS can present during childhood with syncope due to torsades de pointes, often precipitated by heightened sympathetic tone - eg, from exertion or fright or as a result of being startled.
- The VT is commonly non-sustained but sometimes persists long enough to provoke syncope, or even death if ventricular fibrillation supervenes.
- For patients with idiopathic LQTS who do not have syncope, complex ventricular arrhythmias, or a family history of sudden cardiac death, no therapy is required.
- Antiarrhythmic drugs - Among type 1a antiarrhythmic drugs, quinidine seems to have the greatest potential for causing torsades de pointes and is estimated to produce syncope in 0.5-;4.0% of patients as a result of this tachyarrhythmia.
- Quinidine prolongs the QT interval in most patients, whether or not ventricular arrhythmias occur, but significant QT prolongation (500-;600 ms) is more often a characteristic of patients with quinidine syncope.
- Patients at increased risk include those with family members who died suddenly at an early age and those who have experienced syncope.
- The frequency with which arrhythmias and syncope occur varies considerably, from several times a day to less than once every several years.
- In patients with syncope, beta-blockers at maximally tolerated doses can be tried, perhaps in combination with a class 1b antiarrhythmic agent.
- The principal manifestation of the syndrome is syncope or presyncope, often accompanied by palpitations.
- During the first 24 hours in hospital, he had three sustained episodes of ventricular tachycardia, at a rate of 200 per minute, associated with circulatory collapse and syncope.
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