Syncope & Orthostatic Hypotension

Syncope & Orthostatic Hypotension

Young adult => neurally mediated or reflex syncope (most common type of syncope) 患者さんが若かったら大体このタイプ(試験問題で)

Older adult => Orthostatic hypotension or cardiac syncope。「cardiac」系ではarrhythmiaがmost common。「post-prandial/食後」のsyncope => older adult。若い人にはあまり起こらない。

syncope/失神

syncope/失神

Reference

Kalra, D. K., Raina, A., & Sohal, S. (2020). Neurogenic orthostatic hypotension: State of the art and therapeutic strategies. Clinical Medicine Insights. Cardiology, 14, 1179546820953415. https://doi.org/10.1177/1179546820953415. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7466888/#:~:text=Neurogenic%20orthostatic%20hypotension%20(nOH)%20is,of%20symptoms%20making%20diagnosis%20difficult.