文章摘要

1例反复出现的晕厥:孰是真凶?

作者: 1陈文佳, 1刘越, 1郑婉秋, 2张笑晗, 2李钰
1 哈尔滨医科大学附属第一医院心内科,哈尔滨 150000
2 哈尔滨工业大学生命科学学院,哈尔滨 150000
通讯: 李钰 Email: liyugene@hit.edu.cn
DOI: 10.3978/j.issn.2095-6959.2021.06.038
基金: 黑龙江省自然科学基金青年科学基金(QC2017104)。

摘要

回顾性分析1例反复晕厥患者的临床资料,并进行相关文献复习。该患者因反复晕厥1年就诊。经临床初步检查发现患者同时合并急性心肌梗死、肺栓塞、房颤、左心耳血栓等。由于这些疾病均可引起晕厥,从而为病因寻找带来诸多困境。本病例最终通过晕厥发作时的心电监测发现患者存在长达12 s的窦性停搏,从而确定了晕厥的病因并给以起搏器植入术的治疗。通过随访1年患者未再次出现晕厥发作。这一罕见病例为晕厥的诊治积累了经验。
关键词: 晕厥;肺栓塞;心肌梗死;病态窦房结综合征

A case of recurrent syncope: What’s to blame?

Authors: 1CHEN Wenjia, 1LIU Yue, 1ZHENG Wanqiu, 2ZHANG Xiaohan, 2LI Yu
1 Department of Cardiology, First Affiliated Hospital of Harbin Medical University, Harbin 150000, China
2 Life Science and Technology, Harbin Institute of Technology, Harbin 150000, China

CorrespondingAuthor: LI Yu Email: liyugene@hit.edu.cn

DOI: 10.3978/j.issn.2095-6959.2021.06.038

Foundation: This work was supported by the Youth Science Fund of Heilongjiang Natural Science Foundation, China (QC2017104).

Abstract

We retrospectively analyzed the clinical data of a recurrent syncope patient and the relevant literatures were reviewed. The patient had a recurrent syncope for about 1 year, and was diagnosed with acute myocardial infarction, pulmonary embolism, atrial fibrillation and left atrial appendage thrombosis. These diseases posed many dilemmas for the etological searching of the patient because all of them can cause syncope. In this case, we found the patient had sinus arrest for 12 s by ECG monitoring during a syncopal attack, so as to determine the cause of syncope and the treatment with pacemaker implantation. After 1-year follow-up, the patient had no syncopal attack again. This rare case accumulated experience for the diagnosis and treatment of syncope .
Keywords: syncope; pulmonary embolism; myocardial infarction; sick sinus syndrome