BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 脉搏低于50 次/分
  • 眩晕/头晕
  • 晕厥

其他诊断因素

  • 颅内压增高
  • 颅内压增高
  • 异常心音
  • 腹部或下肢水肿

危险因素

  • 已知致病药物的应用
  • 70岁以上
  • 近期心肌梗死
  • 手术

诊断性检查

首要检查

  • 12导联心电图
  • Holter监测
  • 事件监测
  • 运动试验
全部具体信息

需要考虑的检查

  • 埋藏式心电循环记录器
  • 直立倾斜试验
  • 电生理检查
全部具体信息

治疗流程

贡献者

Brian Olshansky MD, FAHA, FACC, FHRS

Professor Emeritus

University of Iowa

Iowa City

Electrophysiologist

Mercy Hospital

Mason City

IA

利益冲突披露
BO is a consultant for Boehringer Ingelheim, Daiichi Sankyo, Lundbeck, On-X, Amgen, and Biotronik. He is a speaker for Lundbeck, Biotronik, and Daiichi Sankyo.
Rakesh Gopinathannair MD, MA, FACC, FHRS

Director of Cardiac Electrophysiology

Assistant Professor of Medicine

Division of Cardiovascular Medicine

University of Louisville School of Medicine and Jewish Hospital

Louisville

KY

利益冲突披露
RG is a consultant for St. Jude Medical and Boston Scientific. He is on the speakers’ bureau for American Heart Association, Pfizer Inc., Bristol Myers Squibb, and Zoll Medical. He serves on the advisory board of HealthTrust PG.

Professor Brian Olshansky and Dr Rakesh Gopinathannair would like to gratefully acknowledge Dr Renee M. Sullivan, Dr Weiwei Li, Dr Alexander Mazur, and Dr Chirag M. Sandesara, previous contributors to this monograph. RMS, WL, AM, and CMS declare that they have no competing interests.

同行评议专家 查看所有

Professor of Clinical Medicine

University of California

Chief

Clinical Cardiology

San Francisco General Hospital

Director

Coronary Care Unit

ECG Laboratory and Pacemaker Clinic

San Francisco

CA

利益冲突披露
NG declares that she has no competing interests.

Associate Professor of Medicine

Stanford University

Stanford

CA

利益冲突披露
PH declares that he has no competing interests.

Cardiology Center and Medical Polyclinics

University Hospital Geneva

Geneva

Switzerland

利益冲突披露
JMS declares that he has no competing interests.

使用此内容应接受我们的免责声明