실신의 임상적 접근 및 진단

Clinical Approach and Diagnosis of Syncope

초록

Syncope, defined as a transient loss of consciousness, is commonly clinical encountered in patients of all ages at emergency and outpatient clinics. However, syncope shares various clinical features with other diseases (e.g., epilepsy), and the explicit cause may be difficult to identify because testing (e.g., electrocardiography) cannot be performed during a syncopal episode. Syncope due to a cardiac disorder may lead to a fatal outcome such as sudden cardiac death, whereas neurally mediated syncope has a much more favorable prognosis. Herein, we classify the causes of syncope and provide the clinical approach for each, focusing on recently updated guidelines.

키워드

Syncope; Vasovagal syncope; Cardiac syncope; Implantable loop recorder; Sudden cardiac death
제목
실신의 임상적 접근 및 진단
제목 (타언어)
Clinical Approach and Diagnosis of Syncope
저자
최윤영; 최종일
DOI
10.3904/kjm.2020.95.4.251
발행일
2020-08
저널명
대한내과학회지
권
95
호
4
페이지
251 ~ 259