植入式动态心电图仪诊断心律失常性晕厥1例

A case of arrhythmias syncope diagnosed by implantable loop recorder

晕厥是临床许多疾病的常见症状,有部分晕厥者经全面系统的检查仍未能明确晕厥病因,为不明原因性晕厥。中南大学湘雅医院收治1例反复晕厥患者,行植入式动态心电图术后704 d记录到晕厥复发时心电图为持续性室性心动过速,因此明确为心律失常性晕厥,并植入了心脏转复除颤仪治疗。植入式动态心电图仪作为一种新型检查手段,凭借其监测时间长、感染率低、安全性高等优点,在心律失常性晕厥患者的诊断中有较高的临床应用价值。

Syncope is a clinical symptom for many kinds of diseases. The reasons for some syncope are still not clear even after a comprehensive and systematic examination, known as unexplained syncope. The clinical data of one patient with recurrent syncope, who had received the implanted loop recorder （ILR） in Xiangya Hospital, Central South Universit~ were retrospectively analyzed. The instrument recorded the first syncope at a time of recurrence for the sustained ventricular tachycardia in 704 days after ILR. The patient was thus diagnosed as arrhythmic syncope and received an operation with implantable cardioverter defibrillator. The ILR is a new type of examination device for patients suffering from syncope with suspected cardiac rhythm due to its long monitoring time, low infection rate and high safety. It possesses high clinical value in the diagnosis of patients with arrhythmic syncope.