Clinical history in the diagnosis of the cardiac syncope-the predictive scoring system.

Mitro P; Kirsch P; Valocik G; Murin P

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Clinical history in the diagnosis of the cardiac syncope-the predictive scoring system.

机译：心脏病晕厥的诊断评分系统的临床病史。

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BACKGROUND: Cardiac syncope represents clinical situation with serious prognosis. The aim of the present study was to develop the diagnostic scoring system based on the clinical history allowing to distinguish between cardiac and noncardiac syncope. METHODS: Clinical history was obtained in the form of the structured questionnaire in 60 patients with cardiac syncope (mean age 70 +/- 10 years, 33 men) an in 140 patients with noncardiac syncope (mean age 45 +/- 20 years, 44 men). Multivariate regression analysis identified seven variables that were included in the final regression model. RESULTS: The age above 55 years, presence of structural heart disease, syncope in supine position, absence of prodromal symptoms, and chest pain before syncope were predictive of cardiac syncope. Predictors of noncardiac syncope were recovery duration of more than 1 minute and syncope occurring immediately after standing up. A diagnostic point score was derived from the regression coefficients. The sum of the points identified patients with cardiac syncope if the diagnostic point score was

机译：背景：心脏晕厥代表严重预后的临床情况。本研究的目的是根据临床病史开发诊断评分系统，以区分心脏性晕厥和非心脏性晕厥。方法：以结构化问卷的形式获得了60例心脏晕厥患者（平均年龄70 +/- 10岁，33名男性）和140例非心脏晕厥患者（平均年龄45 +/- 20岁，44岁）的临床病史男人）。多变量回归分析确定了最终回归模型中包含的七个变量。结果：年龄超过55岁，存在结构性心脏病，仰卧位晕厥，无前驱症状和晕厥前的胸痛可预示心脏晕厥。非心脏性晕厥的预测指标是恢复时间超过1分钟，并且站立后立即发生晕厥。从回归系数得出诊断点得分。如果诊断点得分为

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《PACE: Pacing and clinical electrophysiology》 |2011年第11期|共6页
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Mitro P; Kirsch P; Valocik G; Murin P;
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中图分类诊断学;
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1. Clinical history in the diagnosis of the cardiac syncope-the predictive scoring system. [J] . Mitro P, Kirsch P, Valocik G, PACE: Pacing and clinical electrophysiology . 2011,第11期

机译：心脏病晕厥的诊断评分系统的临床病史。
2. Diagnosis of group A beta-hemolytic Streptococcus using the Breese clinical scoring system. [J] . Karacan M, Karakelleoglu C, Orbak Z Southern Medical Journal . 2007,第12期

机译：使用Breese临床评分系统诊断A组β-溶血性链球菌。
3. Laboratory early warning score versus clinical early warning score as a predictor of imminent cardiac arrest [J] . M Keil, S Hutchinson, T Leary Critical care : . 2014,第Suppla1期

机译：实验室早期预警评分与临床早期预警评分的比较可预测即将发生的心脏骤停
4. An automatic machine learning system for coronary calcium scoring in clinical non-contrast enhanced, ECG-triggered cardiac CT [C] . Jelmer M. Wolterink, Tim Leiner, Richard A.P. Takx, Conference on computer-aided diagnosis . 2014

机译：用于临床非造影增强ECG触发的心脏CT中冠状动脉钙化评分的自动机器学习系统
5. Predicting the Clinical Outcome in Patients with Traumatic Brain Injury Using Clinical Pathway Scores [D] . Mendoza Alonzo, Jennifer L. 2013

机译：使用临床途径评分预测颅脑外伤患者的临床结果
6. A biomarker-based risk score to predict death in patients with atrial fibrillation: the ABC (age biomarkers clinical history) death risk score [O] . Ziad Hijazi, Jonas Oldgren, Johan Lindbäck, -1

机译：基于生物标记物的风险评分可预测房颤患者的死亡：ABC（年龄生物标记物临床病史）死亡风险评分
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Clinical history in the diagnosis of the cardiac syncope-the predictive scoring system.

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