最后审阅: 21 九月 2021
最后更新: 28 四月 2021

小结

鉴别诊断

常见

  • 急性冠脉综合征
  • 室性心律失常
  • 房室传导阻滞
  • 急性心房纤颤动
  • 充血性心力衰竭
  • 血量缺少
  • 窦房结功能障碍
  • 主动脉狭窄
  • 上消化道出血
  • 下消化道出血
  • 神经介导
  • 体位性低血压
  • 偏头痛
  • 癫痫发作

不常见

  • 预激综合征(WPW 综合征)/预激综合征
  • 心包填塞
  • 主动脉夹层
  • 肺栓塞
  • 腹主动脉瘤破裂
  • Brugada 综合征
  • 长 QT 综合征
  • 肥厚型心肌病
  • 致心律失常性右室心肌病
  • 二尖瓣狭窄
  • 心房黏液瘤
  • 心脏结节病
  • 阵发性室上性心动过速
  • 锁骨下动脉窃血综合征
  • 植入式心脏装置故障
  • 异位妊娠
  • 低血糖
  • Addison 病
  • 椎基底动脉短暂性脑缺血发作
  • 蛛网膜下腔出血
  • 精神性假性晕厥

撰稿人

作者

Shamai Grossman, MD, MS

Associate Professor of Medicine and Emergency Medicine

Harvard Medical School

Vice Chair for Health Care Quality

Director, Observation Medicine

Beth Israel Deaconess Medical Center

Boston

MA

利益声明

SG is an author of a reference cited in this topic.

Christopher Fischer, MD

Chair, Assistant Professor

Mount Auburn Hospital

Harvard Medical School

Boston

MA

利益声明

CF is an author of a reference cited in this topic.

鸣谢

Dr Shamai Grossman and Dr Christopher Fischer would like to gratefully acknowledge Dr Sanjeev Wasson, Dr Sarabjeet Singh and Dr Nishant Kalra, the previous contributors to this topic. SS and NK declare that they have no competing interests.

同行评议者

David Leaf, MD, MPH

Professor of Medicine

VA Greater Los Angeles Healthcare System

UCLA School of Medicine

Los Angeles

CA

利益声明

DL declares that he has no competing interests.

Sanjiv Petkar, MBBS, MD, DM (Cardiology), MRCP

Consultant Cardiologist

Heart and Lung Centre

New Cross Hospital

Wolverhampton

UK

利益声明

SP has received funds for attending conferences, and fees for speaking and consultation, from Medtronic Inc. SP was also in receipt of funding for research, between 2007 and 2009, from Medtronic Inc. to the University of Manchester. SP was a Guideline Development Group member of the National Institute or Health and Care Excellence (formerly National Institute for Clinical Excellence) guidelines on transient loss of consciousness ('blackouts') management in adults and young people, published in August 2010.

Nicholas Gall, MSc, MD, FRCP

Consultant Cardiologist

Department of Cardiology

King's College Hospital

London

UK

利益声明

NG declares that he has no competing interests.

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