[What is new in the 2009 ESC guidelines?]. / Was ist neu in der ESC-Leitlinie von 2009?
Herzschrittmacherther Elektrophysiol
; 22(2): 113-7, 2011 Jun.
Article
em De
| MEDLINE
| ID: mdl-21523455
ABSTRACT
The 2009 ESC guideline emphasizes active risk stratification and the diagnostic strategy of prolonged ECG monitoring using an implantable loop recorder. The initial evaluation aims at establishing a prima vista diagnosis or at least a diagnostic hypothesis and risk stratification according to ECG criteria and clinical findings. Carotid sinus massage as a diagnostic procedure remains controversial. Electrophysiological study for evaluation of suspected arrhythmogenic syncope is of decreasing relevance. The loop recorder enables documentation of the rhythm during a subsequent syncope. Neurological work-up is not routinely recommended. A standardized evaluation minimizes the rate of unexplained syncopes. Therapeutic decisions include ICD or pacemaker, as indicated in cases of arrhythmogenic syncope or carotid sinus syncope, and mostly general measures in case of other reflex syncopes.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Exame Físico
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Síncope
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Estimulação Cardíaca Artificial
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Cardiologia
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Eletrocardiografia Ambulatorial
Idioma:
De
Ano de publicação:
2011
Tipo de documento:
Article