摘要: This review deals with recent changes in understanding of physiologic mechanisms involved vasovagal syncope. The approach is not comprehensive but attempts to integrate new findings older studies. major clinical presentations the condition and recognized triggers are discussed first, followed by a summary how laboratory methods allow better reflex. A sequence sympathohemodynamic events during tilt-induced syncope suggested based on several different research approaches. aim dissect out for hypotension, then current knowledge clarify sequence.
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Jean-Claude Deharo, Christophe Jego, André Lanteaume, Pierre Djiane, An implantable loop recorder study of highly symptomatic vasovagal patients: the heart rhythm observed during a spontaneous syncope is identical to the recurrent syncope but not correlated with the head-up tilt test or adenosine triphosphate test. Journal of the American College of Cardiology. ,vol. 47, pp. 587- 593 ,(2006) , 10.1016/J.JACC.2005.09.043
J. Ludbrook, S. Ventura, Roles of carotid baroreceptor and cardiac afferents in hemodynamic responses to acute central hypovolemia American Journal of Physiology-heart and Circulatory Physiology. ,vol. 270, ,(1996) , 10.1152/AJPHEART.1996.270.5.H1538
Stephen L. Wasmund, Michael L. Smith, Theodore S. Takata, Jose A. Joglar, Jian-Ming Li, Robert C. Kowal, Richard L. Page, Mohamed H. Hamdan, Sympathoexcitation is attenuated during low level lower body negative pressure in subjects who develop pre-syncope Clinical Autonomic Research. ,vol. 13, pp. 208- 213 ,(2003) , 10.1007/S10286-003-0093-7
David L. Jardine, Hamid Ikram, Christopher M. Frampton, Rachell Frethey, Sinclair I. Bennett, Ian G. Crozier, Autonomic control of vasovagal syncope American Journal of Physiology-heart and Circulatory Physiology. ,vol. 274, ,(1998) , 10.1152/AJPHEART.1998.274.6.H2110
Rong Zhang, Julie H. Zuckerman, Benjamin D. Levine, Deterioration of cerebral autoregulation during orthostatic stress: insights from the frequency domain Journal of Applied Physiology. ,vol. 85, pp. 1113- 1122 ,(1998) , 10.1152/JAPPL.1998.85.3.1113
William H. Cooke, Caroline A. Rickards, Kathy L. Ryan, Tom A. Kuusela, Victor A. Convertino, Muscle sympathetic nerve activity during intense lower body negative pressure to presyncope in humans The Journal of Physiology. ,vol. 587, pp. 4987- 4999 ,(2009) , 10.1113/JPHYSIOL.2009.177352
Peter Thorén, Role of cardiac vagal C-fibers in cardiovascular control. Reviews of Physiology Biochemistry and Pharmacology. ,vol. 86, pp. 1- 94 ,(1979) , 10.1007/BFB0031531
N. Charkoudian, M. J. Joyner, L. A. Sokolnicki, C. P. Johnson, J. H. Eisenach, N. M. Dietz, T. B. Curry, B. G. Wallin, Vascular adrenergic responsiveness is inversely related to tonic activity of sympathetic vasoconstrictor nerves in humans The Journal of Physiology. ,vol. 572, pp. 821- 827 ,(2006) , 10.1113/JPHYSIOL.2005.104075
Emma C. Hart, Michael J. Joyner, B. Gunnar Wallin, Nisha Charkoudian, Sex, ageing and resting blood pressure: gaining insights from the integrated balance of neural and haemodynamic factors The Journal of Physiology. ,vol. 590, pp. 2069- 2079 ,(2012) , 10.1113/JPHYSIOL.2011.224642
Emma C. Hart, Nisha Charkoudian, B. Gunnar Wallin, Timothy B. Curry, John Eisenach, Michael J. Joyner, Sex and ageing differences in resting arterial pressure regulation: the role of the β-adrenergic receptors. The Journal of Physiology. ,vol. 589, pp. 5285- 5297 ,(2011) , 10.1113/JPHYSIOL.2011.212753