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Improved Patient Outcomes by Normalizing Sympathovagal Balance: Differentiating Syncope—Precise Subtype Differentiation Leads to Improved Outcomes
المؤلفون المشاركون
DePace, Nicholas L.
Bateman, Julie A.
Yayac, Michael
Oh, John
Siddique, Mushfiqur
Acosta, Cesar
Pinales, Jeysel M.
Bloom, Heather L.
Vinik, Aaron I.
المصدر
Cardiology Research and Practice
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-05-16
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Syncope is difficult to definitively diagnose, even with tilt-table testing and beat-to-beat blood pressure measurements, the gold-standard.
Both are qualitative, subjective assessments.
There are subtypes of syncope associated with autonomic conditions for which tilt-table testing is not useful.
Heart rate variability analyses also include too much ambiguity.
Three subtypes of syncope are differentiated: vasovagal syncope (VVS) due to parasympathetic excess (VVS-PE), VVS with abnormal heart rate response (VVS-HR), and VVS without PE (VVS-PN).
P&S monitoring (ANSAR, Inc., Philadelphia, PA) differentiates subtypes in 2727 cardiology patients (50.5% female; average age: 57 years; age range: 12–100 years), serially tested over four years (3.3 tests per patient, average).
P&S monitoring noninvasively, independently, and simultaneously measures parasympathetic and sympathetic (P&S) activity, including the normal P-decrease followed by an S-increase with head-up postural change (standing).
Syncope, as an S-excess (SE) with stand, is differentiated from orthostatic dysfunction (e.g., POTS) as S-withdrawal with stand.
Upon standing, VVS-PE is further differentiated as SE with PE, VVS-HR as SE with abnormal HR, and VVS-PN as SE with normal P- and HR-responses.
Improved understanding of the underlying pathophysiology by more accurate subtyping leads to more precise therapy and improved outcomes.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
DePace, Nicholas L.& Bateman, Julie A.& Yayac, Michael& Oh, John& Siddique, Mushfiqur& Acosta, Cesar…[et al.]. 2018. Improved Patient Outcomes by Normalizing Sympathovagal Balance: Differentiating Syncope—Precise Subtype Differentiation Leads to Improved Outcomes. Cardiology Research and Practice،Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1152128
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
DePace, Nicholas L.…[et al.]. Improved Patient Outcomes by Normalizing Sympathovagal Balance: Differentiating Syncope—Precise Subtype Differentiation Leads to Improved Outcomes. Cardiology Research and Practice No. 2018 (2018), pp.1-8.
https://search.emarefa.net/detail/BIM-1152128
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
DePace, Nicholas L.& Bateman, Julie A.& Yayac, Michael& Oh, John& Siddique, Mushfiqur& Acosta, Cesar…[et al.]. Improved Patient Outcomes by Normalizing Sympathovagal Balance: Differentiating Syncope—Precise Subtype Differentiation Leads to Improved Outcomes. Cardiology Research and Practice. 2018. Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1152128
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1152128
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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