运动医学中的儿童和青少年晕厥

L. A. Balykova, S. A. Ivyanskiy, Y. Soldatov, T. S. Shablinova, M. V. Shirmankina, T. M. Duvayarova, D. V. Durnaikina, Yu. S. Shabunina
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引用次数: 0

摘要

本病例是一名热爱运动的青少年因神经介导的晕厥发作而导致的临床病例。鉴别诊断包括以下几种情况:物理因素诱发的心肌病、窦房结功能障碍和窦房结无力综合征。在进行了必要的实验室和仪器检查(心电图、超声心动图、24小时心电图监测和运动负荷试验)后,这些病症被排除。患者出院后在门诊接受了非药物性晕厥预防建议。
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Syncope in children and adolescents in sports medicine
The clinical case of a neuro-mediated syncope episode in a sports-active adolescent is presented. The differential diagnosis included the following conditions: cardiomyopathy induced by physical factors, sinus node dysfunction, and sinus node weakness syndrome. After conducting necessary laboratory and instrumental investigations (ECG, echocardiography, 24-hour ECG monitoring, and exercise stress test), these conditions were excluded. The patient was discharged to outpatient care with recommendations for non-pharmacological syncope prevention. 
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