Equilibrium Research
Online ISSN : 1882-577X
Print ISSN : 0385-5716
ISSN-L : 0385-5716
めまいに対する学際的アプローチ
6. 総合内科から見ためまい
寺澤 秀一
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ジャーナル フリー

2013 年 72 巻 1 号 p. 1-9

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I want to suggest the use of systolic blood pressure in the approach to patients who complain of dizziness. I propose that we should place such patients into three group when we first see them.
The first group is patients with vertigo, in most of whom the symptoms of dizziness are due to CNS diseases or internal ear diseases. Although the problem in 90% of this group is caused by an internal ear disease, CNS diseases must be ruled out as quickly as possible, especially in patients with a high systolic blood pressure.
The second group consists of patients with pre-syncope. Although the problem in most of this group is neurally mediated, cardiovascular and hypovolemic problems must be ruled out as quickly as possible, especially in patients with a low systolic blood pressure.
The third group comprises patients with ill-defined dizziness, in whose case we had better investigate all causes, including the diseases associated with vertigo and pre-syncope.

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© 2013 一般社団法人 日本めまい平衡医学会
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