medicina58巻12号

2021年11月発行

特集 外来で役立つAha!クエスチョン—この症状で、次は何を聞く？ 頭頸部

失神

著者： 加藤之紀¹

所属機関： ¹植田救急クリニック

ページ範囲：P.1962 - P.1966

症例
30代男性
主訴　気を失って倒れていた

参考文献

1）日本循環器学会，他（編）：失神の診断・治療ガイドライン（2012年改訂版），2012

2）Shen WK, et al：2017 ACC/AHA/HRS guideline for the evaluation and management of patients with syncope；Executive summary；A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Heart Rhythm 14：e218-e254, 2017

3）Linzer M, et al：Diagnosing syncope. Part 1；Value of history, physical examination, and electrocardiography. Clinical Efficacy Assessment Project of the American College of Physicians. Ann Intern Med 126：989-996, 1997

4）Calkins H, et al：The value of the clinical history in the differentiation of syncope due to ventricular tachycardia, atrioventricular block, and neurocardiogenic syncope. Am J Med 98：365-373, 1995

5）Perry JJ, et al：Validation of the Ottawa Subarachnoid Hemorrhage Rule in patients with acute headache. CMAJ 189：E1379-E1385, 2017

6）Pires LA, et al：Diagnostic patterns and temporal trends in the evaluation of adult patients hospitalized with syncope. Arch Intern Med 161：1889-1895, 2001

7）Kapoor WN, et al：A prospective evaluation and follow-up of patients with syncope. N Engl J Med 309：197-204, 1983

8）Middlekauff HR, et al：Syncope in advanced heart failure；High risk of sudden death regardless of origin of syncope. J Am Coll Cardiol 21：110-116, 1993

9）Robertson JJ, et al：Emergency medicine myths；Ectopic pregnancy evaluation, risk factors, and presentation. J Emerg Med 53：819-828, 2017

10）Ramoska EA, et al：Reliability of patient history in determining the possibility of pregnancy. Ann Emerg Med 18：48-50, 1989

11）Thiruganasambandamoorthy V, et al：Development of the Canadian Syncope Risk Score to predict serious adverse events after emergency department assessment of syncope. CMAJ 188：E289-E298, 2016