治疗:高质量证据表明对于心脏骤停患者进行早期除颤可获得较好效果。[23]Rea TD, Eisenberg MS, Becker LJ, et al. Temporal trends in sudden cardiac arrest: a 25-year emergency medical services perspective. Circulation. 2003;107:2780-2785.http://circ.ahajournals.org/cgi/content/full/107/22/2780http://www.ncbi.nlm.nih.gov/pubmed/12756155?tool=bestpractice.com[21]Winkle RA, Mead RH, Ruder MA, et al. Effect of duration of ventricular fibrillation on defibrillation efficacy in humans. Circulation. 1990;81:1477-1481.http://circ.ahajournals.org/cgi/reprint/81/5/1477http://www.ncbi.nlm.nih.gov/pubmed/2331763?tool=bestpractice.com[22]De Maio VJ, Stiell IG, Wells GA, et al. Optimal defibrillation response intervals for maximum out-of-hospital cardiac arrest survival rates. Ann Emerg Med. 2003;42:242-250.http://www.ncbi.nlm.nih.gov/pubmed/12883512?tool=bestpractice.com
系统评价或者受试者>200名的随机对照临床试验(RCT)。
治疗:高质量证据表明对于心脏骤停患者进行早期除颤可获得较好效果。[23]Rea TD, Eisenberg MS, Becker LJ, et al. Temporal trends in sudden cardiac arrest: a 25-year emergency medical services perspective. Circulation. 2003;107:2780-2785.http://circ.ahajournals.org/cgi/content/full/107/22/2780http://www.ncbi.nlm.nih.gov/pubmed/12756155?tool=bestpractice.com[21]Winkle RA, Mead RH, Ruder MA, et al. Effect of duration of ventricular fibrillation on defibrillation efficacy in humans. Circulation. 1990;81:1477-1481.http://circ.ahajournals.org/cgi/reprint/81/5/1477http://www.ncbi.nlm.nih.gov/pubmed/2331763?tool=bestpractice.com[22]De Maio VJ, Stiell IG, Wells GA, et al. Optimal defibrillation response intervals for maximum out-of-hospital cardiac arrest survival rates. Ann Emerg Med. 2003;42:242-250.http://www.ncbi.nlm.nih.gov/pubmed/12883512?tool=bestpractice.com
不明原因晕厥的诊断:中等质量的证据显示植入式loop记录器有效且成本效益合理。[26]Brignole M, Sutton R, Menozzi C, et al. Early application of an implantable loop recorder allows effective specific therapy in patients with recurrent suspected neurally mediated syncope. Eur Heart J. 2006;27:1085-1092.http://eurheartj.oxfordjournals.org/content/27/9/1085.fullhttp://www.ncbi.nlm.nih.gov/pubmed/16569653?tool=bestpractice.com[27]Krahn AD, Klein GJ, Yee R, et al. The high cost of syncope: cost implications of a new insertable loop recorder in the investigation of recurrent syncope. Am Heart J. 1999;137:870-877.http://www.ncbi.nlm.nih.gov/pubmed/10220636?tool=bestpractice.com
系统评价或者受试者>200名的随机对照临床试验(RCT)。
不明原因晕厥的诊断:中等质量的证据显示植入式loop记录器有效且成本效益合理。[26]Brignole M, Sutton R, Menozzi C, et al. Early application of an implantable loop recorder allows effective specific therapy in patients with recurrent suspected neurally mediated syncope. Eur Heart J. 2006;27:1085-1092.http://eurheartj.oxfordjournals.org/content/27/9/1085.fullhttp://www.ncbi.nlm.nih.gov/pubmed/16569653?tool=bestpractice.com[27]Krahn AD, Klein GJ, Yee R, et al. The high cost of syncope: cost implications of a new insertable loop recorder in the investigation of recurrent syncope. Am Heart J. 1999;137:870-877.http://www.ncbi.nlm.nih.gov/pubmed/10220636?tool=bestpractice.com