Syncope: causes, clinical evaluation, and current therapy.

Abstract:

:Syncope is a common clinical problem comprising the sudden loss of both consciousness and postural tone, with a subsequent spontaneous and relatively prompt recovery. Often it is difficult to differentiate a true syncopal spell from other conditions, such as seizure disorders, or from some simple accidents. Even more difficult is the identification of the cause of syncopal episodes. Nonetheless, establishing a definitive diagnosis ia an important task given the high risk of recurrent symptoms. Careful use of noninvasive and invasive cardiovascular studies (including electrophysiologic testing and tilt-table testing) along with selected hematologic, biochemical, and neurologic studies provides, in the majority of cases, the most effective strategy for obtaining a specific diagnosis and for directing therapy.

journal_name

Annu Rev Med

authors

Benditt DG,Remole S,Milstein S,Bailin S

doi

10.1146/annurev.me.43.020192.001435

subject

Has Abstract

pub_date

1992-01-01 00:00:00

pages

283-300

eissn

0066-4219

issn

1545-326X

journal_volume

43

pub_type

杂志文章,评审
  • Pathogenesis of macrophage activation syndrome and potential for cytokine- directed therapies.

    abstract::Macrophage activation syndrome (MAS) is an acute episode of overwhelming inflammation characterized by activation and expansion of T lymphocytes and hemophagocytic macrophages. In rheumatology, it occurs most frequently in patients with systemic juvenile idiopathic arthritis (SJIA) and systemic lupus erythematosus. Th...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-061813-012806

    authors: Schulert GS,Grom AA

    更新日期:2015-01-01 00:00:00

  • Enzyme replacement for lysosomal diseases.

    abstract::Following the demonstration of the nature of the enzymatic defects in the sphingolipid storage disorders in the mid-1960s, consideration was directed to the development of therapy for patients with these conditions. High on the list of possibilities was enzyme supplementation or replacement. Many years of arduous inve...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.57.110104.115650

    authors: Brady RO

    更新日期:2006-01-01 00:00:00

  • Biological Aspects of Cancer Health Disparities.

    abstract::Racial and ethnic disparities span the continuum of cancer care and are driven by a complex interplay among social, psychosocial, lifestyle, environmental, health system, and biological determinants of health. Research is needed to identify these determinants of cancer health disparities and to develop interventions t...

    journal_title:Annual review of medicine

    pub_type: 杂志文章

    doi:10.1146/annurev-med-070119-120305

    authors: Freedman JA,Al Abo M,Allen TA,Piwarski SA,Wegermann K,Patierno SR

    更新日期:2021-01-27 00:00:00

  • Thyroid cancer.

    abstract::Thyroid cancer is rapidly increasing in incidence, but the mortality rate remains flat. Debate has arisen over the need to detect or treat most thyroid cancers early, given their favorable natural history. The appropriate extent of surgery for thyroid cancer is also controversial: some researchers advocate partial and...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-061512-105739

    authors: Carling T,Udelsman R

    更新日期:2014-01-01 00:00:00

  • Diet and nephrolithiasis.

    abstract::Pharmacologic therapy of recurrent nephrolithiasis continues to be the mainstay of the strategy to prevent recurrence. This approach persists even in the face of increasing evidence of a marked benefit of mere entry into a nonpharmacologic diet and fluid modification protocol at a clinic specializing in the evaluation...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.45.1.235

    authors: Goldfarb S

    更新日期:1994-01-01 00:00:00

  • The surgical management of atrial fibrillation.

    abstract::Atrial fibrillation is the most common dysrhythmia encountered in clinical practice. For some patients, satisfactory rate control is not possible by pharmacologic means. This led us to develop a surgical approach to its cure, which in turn has led to a deeper understanding of the electrophysiologic basis of atrial fib...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.48.1.511

    authors: Cox JL,Sundt TM 3rd

    更新日期:1997-01-01 00:00:00

  • Leukocyte adhesion deficiency: an inherited defect in the Mac-1, LFA-1, and p150,95 glycoproteins.

    abstract::Leukocyte adhesion deficiency (LAD) is a recently recognized autosomal-recessive trait characterized by recurrent bacterial infections, impaired pus formation and wound healing, and abnormalities in a wide spectrum of adherence-dependent functions of granulocytes, monocytes, and lymphoid cells. Features of this diseas...

    journal_title:Annual review of medicine

    pub_type: 杂志文章

    doi:10.1146/annurev.me.38.020187.001135

    authors: Anderson DC,Springer TA

    更新日期:1987-01-01 00:00:00

  • Genetic aspects of infantile autism.

    abstract::Infantile autism probably has many etiologies. Several specific genetic disorders appear to be associated with the syndrome much more often than would be expected by chance, but these account for only a minority of cases. In the majority of cases, where etiology is still unknown, genetic factors probably also play a r...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.36.020185.002215

    authors: Folstein SE

    更新日期:1985-01-01 00:00:00

  • Thrombopoietin: understanding and manipulating platelet production.

    abstract::Until recently, platelet production was the least understood aspect of blood cell development. This gap in our understanding resulted from the scarcity of megakaryocytes, the marrow precursor of blood platelets, and from confusion surrounding the cytokines and hormones that support their development. The recent clonin...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.48.1.1

    authors: Kaushansky K

    更新日期:1997-01-01 00:00:00

  • Pharmacogenomics and individualized drug therapy.

    abstract::Pharmacogenetics deals with inherited differences in the response to drugs. The best-recognized examples are genetic polymorphisms of drug-metabolizing enzymes, which affect about 30% of all drugs. Loss of function of thiopurine S-methyltransferase (TPMT) results in severe and life-threatening hematopoietic toxicity i...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.56.082103.104724

    authors: Eichelbaum M,Ingelman-Sundberg M,Evans WE

    更新日期:2006-01-01 00:00:00

  • Cellular action of calcium channel blocking drugs.

    abstract::The calcium antagonists are an exciting "class" of drugs that are already making an important impact in the treatment of coronary artery disease. All three drugs in use in the US, verapamil, nifedipine, and diltiazem, are effective coronary vasodilators. In addition, verapamil and diltiazem have antiarrhythmic activit...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.35.020184.001545

    authors: Schwartz A,Triggle DJ

    更新日期:1984-01-01 00:00:00

  • Goals of inpatient treatment for psychiatric disorders.

    abstract::The purpose of the psychiatric hospital changed dramatically during the twentieth century. Formerly the primary location for psychiatric treatment, the hospital now plays a more circumscribed role within a community-based system of care. Crisis stabilization, safety, and a focus on rapid discharge are the critical com...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.60.042607.080257

    authors: Sharfstein SS

    更新日期:2009-01-01 00:00:00

  • ADAMTS13 and von Willebrand factor in thrombotic thrombocytopenic purpura.

    abstract::Pathogenesis of thrombotic thrombocytopenic purpura (TTP) was a mystery for over half a century until the discovery of ADAMTS13. ADAMTS13 is primarily synthesized in the liver, and its main function is to cleave von Willebrand factor (VWF) anchored on the endothelial surface, in circulation, and at the sites of vascul...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-061813-013241

    authors: Zheng XL

    更新日期:2015-01-01 00:00:00

  • Prospects for life span extension.

    abstract::Life expectancy has increased dramatically in the United States and in much of the world in recent years and decades. The factors underlying this increase are incompletely understood and are undoubtedly complex. A question that drives current research is whether life expectancy can be further extended using current kn...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.60.061607.220533

    authors: Sierra F,Hadley E,Suzman R,Hodes R

    更新日期:2009-01-01 00:00:00

  • IgG subclass deficiencies.

    abstract::IgG subclasses represent distinct immunoglobulin types, each defined by unique primary structures of the constant region of the heavy-chain molecule, and each with characteristic biological and functional properties. New methods and reagents to measure serum concentrations have contributed to the study of the ontogeny...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.38.020187.001545

    authors: Ochs HD,Wedgwood RJ

    更新日期:1987-01-01 00:00:00

  • Management of Rectal Cancer Without Radical Resection.

    abstract::The basis of the current treatment of rectal cancer is a radical total mesorectal excision of the rectum, and although this provides excellent oncological control, it is associated with morbidity and functional problems in cancer survivors. Organ-preservation alternatives are local excision alone for very early tumors...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-062915-021419

    authors: Beets GL,Figueiredo NF,Beets-Tan RG

    更新日期:2017-01-14 00:00:00

  • Paget's disease of bone.

    abstract::Paget's disease affects approximately 3% of the population over age forty. It may be genetically transmitted (autosomal-dominant), but recent evidence suggests a viral etiology. Effective agents for control of the disorder have been developed over the past decade, but all have significant drawbacks. Calcitonin tends t...

    journal_title:Annual review of medicine

    pub_type: 杂志文章

    doi:10.1146/annurev.me.28.020177.001043

    authors: Ryan WG

    更新日期:1977-01-01 00:00:00

  • Arrhythmogenic Right Ventricular Cardiomyopathy: Progress Toward Personalized Management.

    abstract::Arrhythmogenic right ventricular cardiomyopathy (ARVC) is an inherited heart disease characterized by fibrofatty replacement of the ventricular myocardium, a high risk of ventricular arrhythmias, and progressive ventricular dysfunction. The clinical course is highly variable, and optimal approaches to management remai...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,meta分析

    doi:10.1146/annurev-med-041217-010932

    authors: James CA,Calkins H

    更新日期:2019-01-27 00:00:00

  • Calorie restriction, aging, and cancer prevention: mechanisms of action and applicability to humans.

    abstract::Calorie restriction (CR) is the most effective and reproducible intervention for increasing lifespan in a variety of animal species, including mammals. CR is also the most potent, broadly acting cancer-prevention regimen in experimental carcinogenesis models. Translation of the knowledge gained from CR research to hum...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.54.101601.152156

    authors: Hursting SD,Lavigne JA,Berrigan D,Perkins SN,Barrett JC

    更新日期:2003-01-01 00:00:00

  • The adult respiratory distress syndrome.

    abstract::The Adult Respiratory Distress Syndrome is a complication of many illnesses such as sepsis, pneumonia and trauma afflicting over 150,000 patients per year. While progress in intensive care medicine has increased the survival rates in many of these underlying illnesses, major obstacles remain in the successful therapy ...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.36.020185.001211

    authors: Bernard GR,Brigham KL

    更新日期:1985-01-01 00:00:00

  • Update on typical and atypical antipsychotic drugs.

    abstract::Antipsychotic drugs (APDs) are best classified as typical or atypical. The distinction is based solely on their ability to cause extrapyramidal side effects (EPS), including tardive dyskinesia (TD). The two classes differ in mechanism of action, with atypical APDs providing important modulation of serotonergic neurotr...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-050911-161504

    authors: Meltzer HY

    更新日期:2013-01-01 00:00:00

  • Targeting metabolic changes in cancer: novel therapeutic approaches.

    abstract::Therapeutic strategies designed to target cancer metabolism are an area of intense research. Antimetabolites, first used to treat patients in the early twentieth century, served as an early proof of concept for such therapies. We highlight strategies that attempt to improve on the anti-metabolite approach as well as n...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-092012-112344

    authors: Bobrovnikova-Marjon E,Hurov JB

    更新日期:2014-01-01 00:00:00

  • Alzheimer's disease.

    abstract::Significant progress has been made in identifying changes in cholinergic, monoaminergic, and peptidergic neurotransmitter systems in the brains of individuals with Alzheimer's disease. Moreover, neurobiological approaches are beginning to reveal the relationships between these neurotransmitter abnormalities and histol...

    journal_title:Annual review of medicine

    pub_type: 杂志文章

    doi:10.1146/annurev.me.36.020185.002025

    authors: Price DL,Whitehouse PJ,Struble RG

    更新日期:1985-01-01 00:00:00

  • Differential diagnosis and treatment of panic attacks and phobic states.

    abstract::Recent advances in our understanding of and ability to treat panic disorders and various types of phobia have been reviewed. A case of agoraphobia was presented in detail to illustrate clinical issues and serve as a basis for discussing differential diagnosis. The presence or absence of spontaneous panic attacks has c...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.32.020181.003055

    authors: Liebowitz MR,Klein DF

    更新日期:1981-01-01 00:00:00

  • Asthma and airway hyperresponsiveness.

    abstract::Airway hyperresponsiveness to a large number of stimuli is a characteristic of asthma in humans. Various components of the tracheobronchial tree might contribute to this characteristic, such as smooth muscle, the bronchial epithelium, various neurohumoral mechanisms, and the mechanical linkages between the lung parenc...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.42.020191.001035

    authors: Ingram RH Jr

    更新日期:1991-01-01 00:00:00

  • Epidermolysis bullosa.

    abstract::Epidermolysis bullosa is a group of genetically determined diseases characterized by abnormal fragility of the skin and mucosa. In this chapter, we review current thinking about classification, pathogenesis, and molecular genetics, and we discuss management guidelines. ...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.44.020193.001201

    authors: Lin AN,Carter DM

    更新日期:1993-01-01 00:00:00

  • Organ preservation.

    abstract::Organ preservation is the supply line for organ transplantation. Currently, the liver, pancreas, and kidney can be successfully preserved for up to two days by flushing the organs with the University of Wisconsin (UW) organ preservation solution and storing them at hypothermia (0-5 degree C). The UW solution is effect...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.46.1.235

    authors: Southard JH,Belzer FO

    更新日期:1995-01-01 00:00:00

  • Implementing a research agenda for complementary and alternative medicine.

    abstract::Complementary and alternative medicine (CAM) consists of diverse clinical interventions that are practiced because of their popularity rather than the prior demonstration of safety and efficacy required for conventional agents. CAM therapies can be grouped into five categories: biologically based therapies, manipulati...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.55.091902.103657

    authors: Berman JD,Straus SE

    更新日期:2004-01-01 00:00:00

  • Precision Medicine: Functional Advancements.

    abstract::Precision medicine was conceptualized on the strength of genomic sequence analysis. High-throughput functional metrics have enhanced sequence interpretation and clinical precision. These technologies include metabolomics, magnetic resonance imaging, and I rhythm (cardiac monitoring), among others. These technologies a...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-041316-090905

    authors: Caskey T

    更新日期:2018-01-29 00:00:00

  • The challenge of viral reservoirs in HIV-1 infection.

    abstract::A viral reservoir is a cell type or anatomical site in association with which a replication-competent form of the virus accumulates and persists with more stable kinetic properties than the main pool of actively replicating virus. This article reviews several cell types and anatomical sites proposed as potential reser...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.53.082901.104024

    authors: Blankson JN,Persaud D,Siliciano RF

    更新日期:2002-01-01 00:00:00