The old man cardiogenic syncope, multi
Zhang Liyun, deputy director of cardiovascular physicians of Wuhan Central Hospital
Syncope is a popular talk "become unconscious", refers to the transient loss of consciousness, often occur in the brain when there is not enough blood supply. Causes of syncope is very complex, the most common is vasovagal syncope, which can occur in any case, such as fear, pain, sadness, after strenuous exercise, standing long time, overwork, collar system is too tight. Some occur in urination, coughing, and some could not find a clear incentive.
A classification method of syncope and cardiogenic syncope, namely, syncope, orthostatic hypotension, syncope. As the name suggests, the first known or unknown caused by heart disease, such as arrhythmia, aortic stenosis, hypertrophic obstructive cardiomyopathy, pulmonary embolism; the second arises from the blood vessels in the brain (such as carotid artery, vertebral artery) was extensive ischemia, such as severe carotid artery stenosis; finally, a multi suddenly sit up or stand up when the blood pressure decrease.
Generally, about 40% people will experience syncope in life, of all ages can occur, but the elderly was higher than that in young adults. Due to the onset of most cardiovascular disease rate will increase with age, so the elderly cardiogenic syncope more. It is worth mentioning that the high risk of syncope, severe cases can lead to sudden cardiac death. Syncope occurs once with obvious chest pain, chest tightness, shortness of breath and palpitation, should be timely treatment, investigation of heart disease.
In most cases, the occurrence of syncope without any warning, but also a patient can perceive the "faint" prior to the. At this time, should immediately lie down, and to lift a leg or a chair against the wall, also can sit on the ground and will head on the knees or squat. Feeling better, but slowly stood up, such as the symptoms appear again in the process, is to restore the previous position. If it is felt to be "collapsed" in motion or when lying down, have a family history of unexplained sudden death, and the occurrence of chest pain, palpitation symptoms in the process, should immediately call the emergency phone, to the hospital for treatment. 3
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