. "Pl\u00E1\u0161ek, Ji\u0159\u00ED" . "Diagnostick\u00FD algoritmus synkop: integrativn\u00ED p\u0159\u00EDstup" . . "Mart\u00EDnek, Arno\u0161t" . . "8"^^ . . "T\u00E1borsk\u00FD, Milo\u0161" . "Synkopa je symptom definovan\u00FD p\u0159echodnou ztr\u00E1tou v\u011Bdom\u00ED a postur\u00E1ln\u00EDho tonu se spont\u00E1nn\u00ED a v\u011Bt\u0161inou promptn\u00ED n\u00E1pravou. V prv\u00E9 \u0159ad\u011B je t\u0159eba odli\u0161it nesynkop\u00E1ln\u00ED poruchy v\u011Bdom\u00ED a b\u011B\u017En\u00E9 p\u00E1dy, kde je kl\u00ED\u010Dov\u00E1 d\u016Fsledn\u011B odebran\u00E1 anamn\u00E9za. V t\u00E9to inici\u00E1ln\u00ED rizikov\u00E9stratifikaci se jev\u00ED p\u0159\u00EDnosn\u00E9 sk\u00F3rov\u00E1n\u00ED syst\u00E9my jako EGSYS nebo OESIL, zat\u00EDm ale nedos\u00E1hly v\u0161eobecn\u00E9ho p\u0159ijet\u00ED ani zaveden\u00ED do n\u00E1rodn\u00EDch guidelines, v doporu\u010Den\u00EDch Evropsk\u00E9 kardiologick\u00E9 spole\u010Dnosti ale ji\u017E figuruj\u00ED. V dal\u0161\u00EDm sledu je nutn\u00E9 expertn\u00ED zhodnocen\u00ED EKG, kvalitn\u00ED fyzik\u00E1ln\u00ED vy\u0161et\u0159en\u00ED, zm\u011B\u0159en\u00ED tlaku jak vle\u017Ee, tak ve stoje a proveden\u00ED mas\u00E1\u017Ee karotid, nen\u00ED-li kontraindikace. N\u00E1sleduje rozhodnut\u00ED o hospitalizaci \u010Di ambulantn\u00EDm \u0159e\u0161en\u00ED. Dle recentn\u00EDch studi\u00ED se uk\u00E1zalo, \u017Ee jsou v tomto rychl\u00E9m hodnocen\u00ED velmi efektivn\u00ED tzv. syncope units (jednotky zam\u011B\u0159en\u00E9 na kr\u00E1tkodobou hospitalizaci \u010Di jen vy\u0161et\u0159en\u00ED pacient\u016F se synkopou s mo\u017Enost\u00ED echokardiografie, sledov\u00E1n\u00EDm vit\u00E1ln\u00EDch funkc\u00ED a jednoduch\u00FDm p\u0159\u00EDstupem k event. s\u00E1lku pro srde\u010Dn\u00ED katetrizaci). V r\u00E1mci komplexn\u00EDho vy\u0161et\u0159en\u00ED by nem\u011Blo chyb\u011Bt echokardiografick\u00E9 vy\u0161et\u0159en\u00ED, EKG monitorace a polohov\u00FD test. Nen\u00ED-li v\u00FD\u0161e uveden\u00FDmi metodami objasn\u011Bna synkopa a jedn\u00E1-li e o opakovan\u00FD p\u0159\u00EDpad, je nutn\u00E9 bu\u010F zaveden\u00ED p\u0159\u00EDstroje ILR (Implantable loop recorder), elektrofyziologick\u00E9 vy\u0161et\u0159en\u00ED, \u010Di oboj\u00EDho. I p\u0159es ve\u0161kerou snahu zdravotn\u00EDk\u016F z\u016Fst\u00E1v\u00E1 v\u00EDce ne\u017E 1/3 synkop neobjasn\u011Bna."@cs . "Syncope is a symptom, defined as transient loss of consciousness and postural tone with spontaneous and mostly prompt recovery. At first it is necessary to differentiate other non-syncopal transient loss of consciousness and simple falls, where thorough history taking is pivotal. EGSYS and OESIL risk scores seem to be contibutional in initial risk stratification, however they are neither widely accepted nor a part of national guidelines. They are part of the European socienty of cardiology guidelines, though. Next it is essential expert ECG evaluation, through physical status examination, supine and standing blood pressure measurement and carotid sinus massage, if not contraindicated. Successively one has to decide if hospitalization or outpatient management is more suitable. Recently it has been shown, that so-called syncope management units (aimed for short-term hospitalization or fast outpatient examination, including vital function monitoring, echocardiography and facile cathlab access) are effective in fast syncope evaluation. Echocardiography, ECGmonitoring and head-up tilt test should be a part of complex diagnostic evaluation. If syncope is not clarifed by upon stated methods moreover syncope is recurrent, electrophysiological study, ILR implantation or both are justified. Despita of entire health practitioner's effort, more than 1/3 of syncopes remain unexplained."@en . "CZ - \u010Cesk\u00E1 republika" . "Diagnostic algorithm of syncope:integrative approach"@en . "Diagnostick\u00FD algoritmus synkop: integrativn\u00ED p\u0159\u00EDstup"@cs . "4"^^ . "RIV/61989592:15110/11:33138768" . "Diagnostick\u00FD algoritmus synkop: integrativn\u00ED p\u0159\u00EDstup" . "Doupal, Vlastimil" . . "ILR (implantable loop recorder); head-up tilt test; EGSYS/OESIL; syncope"@en . . . "Diagnostick\u00FD algoritmus synkop: integrativn\u00ED p\u0159\u00EDstup"@cs . . "15110" . "57" . "Synkopa je symptom definovan\u00FD p\u0159echodnou ztr\u00E1tou v\u011Bdom\u00ED a postur\u00E1ln\u00EDho tonu se spont\u00E1nn\u00ED a v\u011Bt\u0161inou promptn\u00ED n\u00E1pravou. V prv\u00E9 \u0159ad\u011B je t\u0159eba odli\u0161it nesynkop\u00E1ln\u00ED poruchy v\u011Bdom\u00ED a b\u011B\u017En\u00E9 p\u00E1dy, kde je kl\u00ED\u010Dov\u00E1 d\u016Fsledn\u011B odebran\u00E1 anamn\u00E9za. V t\u00E9to inici\u00E1ln\u00ED rizikov\u00E9stratifikaci se jev\u00ED p\u0159\u00EDnosn\u00E9 sk\u00F3rov\u00E1n\u00ED syst\u00E9my jako EGSYS nebo OESIL, zat\u00EDm ale nedos\u00E1hly v\u0161eobecn\u00E9ho p\u0159ijet\u00ED ani zaveden\u00ED do n\u00E1rodn\u00EDch guidelines, v doporu\u010Den\u00EDch Evropsk\u00E9 kardiologick\u00E9 spole\u010Dnosti ale ji\u017E figuruj\u00ED. V dal\u0161\u00EDm sledu je nutn\u00E9 expertn\u00ED zhodnocen\u00ED EKG, kvalitn\u00ED fyzik\u00E1ln\u00ED vy\u0161et\u0159en\u00ED, zm\u011B\u0159en\u00ED tlaku jak vle\u017Ee, tak ve stoje a proveden\u00ED mas\u00E1\u017Ee karotid, nen\u00ED-li kontraindikace. N\u00E1sleduje rozhodnut\u00ED o hospitalizaci \u010Di ambulantn\u00EDm \u0159e\u0161en\u00ED. Dle recentn\u00EDch studi\u00ED se uk\u00E1zalo, \u017Ee jsou v tomto rychl\u00E9m hodnocen\u00ED velmi efektivn\u00ED tzv. syncope units (jednotky zam\u011B\u0159en\u00E9 na kr\u00E1tkodobou hospitalizaci \u010Di jen vy\u0161et\u0159en\u00ED pacient\u016F se synkopou s mo\u017Enost\u00ED echokardiografie, sledov\u00E1n\u00EDm vit\u00E1ln\u00EDch funkc\u00ED a jednoduch\u00FDm p\u0159\u00EDstupem k event. s\u00E1lku pro srde\u010Dn\u00ED katetrizaci). V r\u00E1mci komplexn\u00EDho vy\u0161et\u0159en\u00ED by nem\u011Blo chyb\u011Bt echokardiografick\u00E9 vy\u0161et\u0159en\u00ED, EKG monitorace a polohov\u00FD test. Nen\u00ED-li v\u00FD\u0161e uveden\u00FDmi metodami objasn\u011Bna synkopa a jedn\u00E1-li e o opakovan\u00FD p\u0159\u00EDpad, je nutn\u00E9 bu\u010F zaveden\u00ED p\u0159\u00EDstroje ILR (Implantable loop recorder), elektrofyziologick\u00E9 vy\u0161et\u0159en\u00ED, \u010Di oboj\u00EDho. I p\u0159es ve\u0161kerou snahu zdravotn\u00EDk\u016F z\u016Fst\u00E1v\u00E1 v\u00EDce ne\u017E 1/3 synkop neobjasn\u011Bna." . "Petejov\u00E1, N." . . . "V\u00E1clav\u00EDk, Jan" . . "[5B2C374A07D7]" . . "6"^^ . "0042-773X" . "Diagnostic algorithm of syncope:integrative approach"@en . . . . . . . "194232" . "S, V" . "10" . . . "Vnit\u0159n\u00ED l\u00E9ka\u0159stv\u00ED" . "RIV/61989592:15110/11:33138768!RIV13-MSM-15110___" .