Syncope is a concerning symptom that affects a large proportion of patients.It can be related to a heterogeneous group of pathologies ranging from trivial causes to diseases with a high risk of sudden death.However,be...Syncope is a concerning symptom that affects a large proportion of patients.It can be related to a heterogeneous group of pathologies ranging from trivial causes to diseases with a high risk of sudden death.However,benign causes are the most frequent,and identifying high-risk patients with potentially severe etiologies is crucial to establish an accurate diagnosis,initiate effective therapy,and alter the prognosis.The term cardiac syncope refers to those episodes where the cause of the cerebral hypoperfusion is directly related to a cardiac disorder,while arrhythmic syncope is cardiac syncope specifically due to rhythm disorders.Indeed,arrhythmias are the most common cause of cardiac syncope.Both bradyarrhythmia and tachyarrhythmia can cause a sudden decrease in cardiac output and produce syncope.In this review,we summarized the main guidelines in the management of patients with syncope of presumed arrhythmic origin.Therefore,we presented a thorough approach to syncope work-up through different tests depending on the clinical characteristics of the patients,risk stratification,and the management of syncope in different scenarios such as structural heart disease and channelopathies.展开更多
Objective: to observe and study the clinical manifestations and symptoms of patients with dilated cardiomyopathy with kidney-yang deficiency after combined treatment of Chinese and western medicine. Methods: the patie...Objective: to observe and study the clinical manifestations and symptoms of patients with dilated cardiomyopathy with kidney-yang deficiency after combined treatment of Chinese and western medicine. Methods: the patients with dilated cardiomyopathy with kidney-yang deficiency treated in our hospital in recent one year were selected, and the clinical data were collected, and the clinical therapeutic effect of the patients was observed. A total of 100 patients were collected and included in the study. After reviewing the clinical drug treatment characteristics of the patients, we randomly divided them into two groups: 50 patients in the observation group were treated with combination of traditional Chinese medicine and western medicine, and 50 patients in the control group were treated with single western medicine. The drug types were oral captopril and oral metoprolol tartrate. After the patient completed the whole treatment process, the clinical treatment effect of the patient was observed. Results: the total incidence of adverse reactions in the observation group and the control group was 8.00% (4/50). The total effective rate of the control group was 80.00%, and the total effective data of the observation group was 98.00%. After treatment, BNP: (27.33±4.39) pg/ml, LVEDd: (61.02±5.19) mm, LVEF: (42.37±4.53)% in the observation group, BNP:(40.50±7.99)pg/ml, LVEDd:(64.33±3.11)mm, LVEF:(37.12±5.59)% . Conclusion: for patients with dilated cardiomyopathy with kidney-yang deficiency, single western medicine has certain therapeutic effect. At this time, adding traditional Chinese medicine on the basis of western medicine can improve clinical therapeutic effect, reduce plasma brain natriuretic peptide and cardiac function indexes, and make patients life quality better.展开更多
文摘Syncope is a concerning symptom that affects a large proportion of patients.It can be related to a heterogeneous group of pathologies ranging from trivial causes to diseases with a high risk of sudden death.However,benign causes are the most frequent,and identifying high-risk patients with potentially severe etiologies is crucial to establish an accurate diagnosis,initiate effective therapy,and alter the prognosis.The term cardiac syncope refers to those episodes where the cause of the cerebral hypoperfusion is directly related to a cardiac disorder,while arrhythmic syncope is cardiac syncope specifically due to rhythm disorders.Indeed,arrhythmias are the most common cause of cardiac syncope.Both bradyarrhythmia and tachyarrhythmia can cause a sudden decrease in cardiac output and produce syncope.In this review,we summarized the main guidelines in the management of patients with syncope of presumed arrhythmic origin.Therefore,we presented a thorough approach to syncope work-up through different tests depending on the clinical characteristics of the patients,risk stratification,and the management of syncope in different scenarios such as structural heart disease and channelopathies.
文摘Objective: to observe and study the clinical manifestations and symptoms of patients with dilated cardiomyopathy with kidney-yang deficiency after combined treatment of Chinese and western medicine. Methods: the patients with dilated cardiomyopathy with kidney-yang deficiency treated in our hospital in recent one year were selected, and the clinical data were collected, and the clinical therapeutic effect of the patients was observed. A total of 100 patients were collected and included in the study. After reviewing the clinical drug treatment characteristics of the patients, we randomly divided them into two groups: 50 patients in the observation group were treated with combination of traditional Chinese medicine and western medicine, and 50 patients in the control group were treated with single western medicine. The drug types were oral captopril and oral metoprolol tartrate. After the patient completed the whole treatment process, the clinical treatment effect of the patient was observed. Results: the total incidence of adverse reactions in the observation group and the control group was 8.00% (4/50). The total effective rate of the control group was 80.00%, and the total effective data of the observation group was 98.00%. After treatment, BNP: (27.33±4.39) pg/ml, LVEDd: (61.02±5.19) mm, LVEF: (42.37±4.53)% in the observation group, BNP:(40.50±7.99)pg/ml, LVEDd:(64.33±3.11)mm, LVEF:(37.12±5.59)% . Conclusion: for patients with dilated cardiomyopathy with kidney-yang deficiency, single western medicine has certain therapeutic effect. At this time, adding traditional Chinese medicine on the basis of western medicine can improve clinical therapeutic effect, reduce plasma brain natriuretic peptide and cardiac function indexes, and make patients life quality better.
