目的 对同一次直立倾斜试验(Head-up Tilt Test
HUTT)中的合并不同血流动力学反应的复合型反应进行总结分析。方法 226例晕厥或头晕或走路不稳患者在安静环境空腹进行HUTT持续监测心电和血压,观察其血压、心率变化及症状。结果 226例进行HUTT的患者中血管迷走性反应(Vasovagal Response
VVR)阳性91例,体位性心动过速(Postural Tachycardia Syndrome
POTS)30例,直立性低血压(Orthostatic Hypotension
OH)67例。POTS合并VVR(P-CFR)23例,OH合并VVR(O-CFR)15例,单纯VVR(Only-VVR)53例。结论 直立倾斜试验存在不同类型血流动力学反应的复合型反应,需要对不同阶段HUTT细致观察。
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