geriatrРоссийский журнал гериатрической медициныRussian Journal of Geriatric Medicine2686-86362686-8709Сайт издателя10.37586/2686-8636-4-2021-403-407geriatr-226Research ArticleОБЗОРЫREVIEWSКардиальное синкопе – причина падений у пожилых пациентовCardiac syncope causes falls in the olderhttps://orcid.org/0000-0002-4193-688XТкачеваО. Н.TkachevaO. N.

Ткачева Ольга Николаевна, д-р мед. наук, профессор, директор

+7(499)187-64-67

Tkacheva Olga N., MD, PhD, professor, Director

Moscow

+7(499)187-64-67

tkacheva@rgnkc.ruhttps://orcid.org/0000-0002-1628-5093КотовскаяЮ. В.KotovskayaYu. V.

Котовская Юлия Викторовна, д-р мед. наук, профессор, заместитель директора по научной работе

+7(499)187-78-09

Kotovskaya Yulia V., MD, PhD, professor, Deputy Director

Moscow

+7(499)187-78-09

kotovskaya_yv@rgnkc.ruhttps://orcid.org/0000-0002-5313-2715РозановА. В.RozanovA. V.

Розанов Александр Владимирович, канд. мед. наук, помощник директора по региональному развитию и федеральным проектам

+7(985)991-75-47

Rozanov Alexander V., MD, PhD, Assistant Director for Regional Development and Federal Projects

Moscow 

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rozanov_av@rgnkc.ruhttps://orcid.org/0000-0003-0048-268XЕруслановаК. А.EruslanovaK. A.

Ерусланова Ксения Алексеевна, младший научный сотрудник лаборатории сердечно-сосудистого старения

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Eruslanova Ksenia A., junior research fellow, Laboratory of Vascular Ageing

Moscow

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Eruslanova_KA@rgnkc.ruhttps://orcid.org/0000-0002-1219-8398ФединM. А.FedinM. A.Федин Максим Александрович, врачFedin Maxim A., MD

Moscow

komrad.fedin2009@yandex.ruhttps://orcid.org/0000-0001-7815-4104ИзюмовА. Д.IzyumovA. D.Изюмов Андрей Дмитриевич, врачIzyumov Andrey D., MD

Moscow

V.jugularis@gmail.comФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России, Российский геронтологический научно-клинический центрРоссияPirogov Russian National Research Medical University, Russian Gerontology Research and Clinical CentreRussian Federation20212503202204403407Copyright © Ткачева О.Н., Котовская Ю.В., Розанов А.В., Ерусланова К.А., Федин M.А., Изюмов А.Д., 20222022Ткачева О.Н., Котовская Ю.В., Розанов А.В., Ерусланова К.А., Федин M.А., Изюмов А.Д.Tkacheva O.N., Kotovskaya Y.V., Rozanov A.V., Eruslanova K.A., Fedin M.A., Izyumov A.D.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.geriatr-news.com/jour/article/view/226

Синкопе может привести к падению и послужить причиной травм, госпитализации, потери автономности и даже смерти. У пожилых людей причинами синкопе могут быть ортостатическая гипотензия, синдром каротидного синуса, нейроопосредованные синкопальные состояния, структурные заболевания сердца и сердечные аритмии. Требуется структурированный и комплексный подход к ведению пожилых пациентов с падениями вследствие обморока. Диагностика и лечение обморока имеют ряд сложностей у пожилых пациентов как с сохраненными, так и c нарушенными когнитивными функциями. В диагностике таких пациентов применяется классическое кардиологическое обследование, а также выполнение комплексной гериатрической оценки. Комплексный подход позволяет детально оценить причину обморока и выбрать оптимальную тактику лечения у пожилых пациентов.

Syncope can lead to a fall and cause injury, hospitalization, loss of autonomy, and even death. In the older, syncope can be caused by cardiovascular system diseases, including orthostatic hypotension, carotid sinus syndrome, neuromediated syncope, structural heart disease, and abnormalities in cardiac rhythm and conduction. A structured and comprehensive approach to the management of older patients with falls triggered by syncope is required. Diagnosis and treatment of syncope have several difficulties in older patients with both preserved and impaired cognitive functions. When diagnosing these patients both the classical cardiological examination and the implementation of a comprehensive geriatric assessment are used. Comprehensive approach allows assessing in detail the cause of fainting and choosing the optimal diagnostic and treatment tactics in older patients.

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The authors declare that there are no conflicts of interest present.