ОБРАЩЕНИЕ К ЧИТАТЕЛЯМ ОРИГИНАЛЬНЫЕ СТАТЬИ КЛИНИЧЕСКОЕ ТЕЧЕНИЕ СИНКОПЕ В ДИФФЕРЕНЦИАЛЬНОЙ ДИАГНОСТИКЕ СИНКОПАЛЬНЫХ СОСТОЯНИЙ Piotr J. Stryjewski1 , Agnieszka Kuczaj2 , Ryszard Braczkowski3 , Jadwiga Nessler4 Цель. <...> To evaluate the clinical signs and symptoms in the differential diagnosis of syncope. <...> We investigated 160 patients (64 men and 96 women), aged 18-77 years with reflex or cardiac syncope over the last 3 years. <...> The following were investigated: age, sex, age at first syncope, number of presyncopal episodes, number of syncopal episodes, number of sudden syncope without prodromal signs and the circumstances of syncope. <...> Moreover, we assessed the frequencies of prodromal signs in the differential diagnosis of syncope. <...> Patients with reflex syncope were younger compared to patients with cardiac syncope (41,3±16,5 vs. 61,8±12,8; P<0,001) and had lower weight and body mass index (BMI). <...> Dyspnea, heart palpitations, feeling of cold or heat, visual disturbances and tinnitus were associated with reflex syncope (P<0,01). <...> Syncope is a transient loss of consciousness caused by transient, general cerebral hypoperfusion, characterized by rapid onset, short duration and spontaneous recovery [1, 2]. <...> The most frequent type of syncope is reflex syncope (neurally-mediated syncope), among which vasovagal syncope is the most frequent type [3]. <...> Vasovagal syncope, which constitutes up to 40% of syncope of unclear origin, is defined as a rapid loss of consciousness due to excessive reaction of the autonomic nervous system [1, 4]. <...> During syncope a rapid decrease in systolic blood pressure occurs and, in consequence, a significant decrease in cerebral blood flow is noted [1, 5]. 55 , Ewa Nowalany-Kozielska2 Conclusion. <...> The course of syncope may facilitate a diagnostic process of reflex and cardiac syncope. <...> Russ J Cardiol 2015, 9 (125): 55–58 http://dx.doi.org/10.15829/1560-4071-2015-09-55-58 Key words: cardiac syncope, prodromal symptoms, reflex syncope, syncope. 1 Cardiology Department, Chrzanow City Hospital; 2 Zabrze, Medical University of Silesia, Katowice; 3 Medical University of Silesia, Katowice; 4 , Ewa Nowalany-Kozielska2 Ключевые слова: кардиогенные синкопе, продромальные симптомы, рефлекторные синкопе, синкопальные <...>