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Synkope

Epidemiologie, Definition, Klassifikation, Pathophysiologie und Prognose

Syncope

Epidemiology, definition, classification, pathophysiology and prognosis

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Zusammenfassung

Synkopen sind ein häufiges klinisches Problem. Rund 40% der Gesamtbevölkerung erleben im Laufe ihres Lebens eine Synkope. Synkopen reduzieren nicht nur die Lebensqualität der Betroffenen, sondern können zu teils schweren Verletzungen führen und mit einer ungünstigen Prognose einhergehen. Zusätzlich stellen sie aufgrund der komplexen Ätiologie und Pathophysiologie die behandelnden Ärzte sowohl im niedergelassenen Bereich als auch im klinischen Alltag vor große Herausforderungen. Auch verursachen Synkopenabklärung und Therapie hohe Kosten für das Gesundheitssystem. Dieser Übersichtsartikel basiert auf den aktuellen europäischen Empfehlungen zur Synkopenabklärung, welche von Internisten, Neurologen, Notfallmedizinern und Kardiologen gemeinsam erarbeitet wurden. Der Artikel gibt einen Überblick über die aktuelle Epidemiologie, Definition, Klassifikation, Pathophysiologie und Prognose der Synkope.

Abstract

Syncope is a common clinical issue. Around 40 % of the total population experience syncope during their lifetime. Serious injuries and reduced quality of life are often observed after syncope. Furthermore, in some cases syncope can be associated with an unfavorable prognosis. Due to the complex etiology and pathophysiology, syncope provides challenges for doctors both in private and in clinical practices. This review is based on the latest European guidelines for syncope which were formulated by internists, neurologists, emergency physicians and cardiologists and gives an overview of the current epidemiology, definition, classification, pathophysiology and prognosis of syncope.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. C.-H. Heeger, A. Rillig, F. Ouyang, K.-H. Kuck und R.R. Tilz geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Abteilung für Kardiologie, Asklepios Klinik St. Georg, Lohmühlenstr. 5, 20099, Hamburg, Deutschland

    C.-H. Heeger, A. Rillig, F. Ouyang, K.-H. Kuck &  R.R. Tilz

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  1. C.-H. Heeger
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  2. A. Rillig
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  3. F. Ouyang
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  4. K.-H. Kuck
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  5. R.R. Tilz
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Correspondence to R.R. Tilz.

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Heeger, CH., Rillig, A., Ouyang, F. et al. Synkope. Herz 39, 423–428 (2014). https://doi.org/10.1007/s00059-014-4087-0

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  • DOI: https://doi.org/10.1007/s00059-014-4087-0

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