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1Advance in the understanding of vasovagal syncope in children and adolescents显示文摘Background Vasovagal syncope(VVS)accounts for 60-80% of cases of neurally mediated syncope.VVS results from acute orthostatic intolerance and recurrent syncopal attacks,which can seriously affect an individual's quality of life.In addition,some children even experience trauma during attacks.Therefore,it is particularly important to clarify the pathogenesis of VVS.The aim of our study is to reveal the latest research progress of VVS.Data sources Literature that involved the pathogenesis of VVS were selected from Cochrane Library(1990-2019),EMBASE(1991-2019)and PubMed(1968-2019)databases.Results Hypovolemia,autonomic dysfunction,vasomotor dysfunction,baroreceptor reflex abnormalities,endothelial dys-function,serotonin surges,and gut microbiota were involved in the underlying mechanism of VVS.Conclusions VVS is not always a benign prognosis.Various aspects were involved in its pathogenesis.Bezold-Jarish reflex,dysfunction of the autonomic nervous system,genetic factors and so on played important roles in VVS;however,the mecha-nism remains unclear.Hong-Xia Li Lu Gao Yue Yuan 2021World Journal of Pediatrics2021,17,1:5
2儿童血管迷走性晕厥的发病机制及诊疗进展显示文摘血管迷走性晕厥(VVS)是自主神经介导性晕厥的主要类型,也是儿童晕厥最常见的病因,其发病率女孩高于男孩,多数预后良好,但发作频繁时严重影响患儿身心健康及生活质量。近年来,随着对儿童晕厥基础疾病确诊率的提高,VVS的研究逐渐成为儿童心血管领域的关注热点。本文重点围绕该病的发病机制、诊断及治疗3个方面对儿童VVS的最新研究成果进行阐述。买迪娜·艾尼(综述) 涂丹娜(审校) 2023重庆医学2023,52,7:0
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