2 research outputs found
ΠΠΈΡΡΠ΅ΡΠ΅Π½ΡΠΈΠ°Π»ΡΠ½Π°Ρ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠ° Π²Π°Π·ΠΎΠ²Π°Π³Π°Π»ΡΠ½ΠΎΠ³ΠΎ ΠΎΠ±ΠΌΠΎΡΠΎΠΊΠ°, ΠΎΡΡΠΎΡΡΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠΉ Π³ΠΈΠΏΠΎΡΠΎΠ½ΠΈΠΈ ΠΈ Π±Π°ΡΠΎΡΠ΅ΡΠ»Π΅ΠΊΡΠΎΡΠ½ΠΎΠΉ Π½Π΅Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎΡΡΠΈ Ρ Π±ΠΎΠ»ΡΠ½ΠΎΠΉ Ρ ΡΠΈΠ½ΠΊΠΎΠΏΠ°Π»ΡΠ½ΡΠΌΠΈ ΡΠΎΡΡΠΎΡΠ½ΠΈΡΠΌΠΈ
We present here a case report of recurring fainting due to orthostatic hypotension in a 45-year-old woman with Hodgkin's' disease, treated by radiation therapy and resection of cervical lymph node. We discuss difficulties of identification of etiology and mechanisms of orthostatic hypotension as well as possible role of baroreflex failure at the background of the Hodgkin's' disease treatment, and vasovagal syncope of which the patient suffered in her youth.ΠΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½ΠΎ ΠΎΠΏΠΈΡΠ°Π½ΠΈΠ΅ ΠΈΡΡΠΎΡΠΈΠΈ Π±ΠΎΠ»Π΅Π·Π½ΠΈ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΊΠΈ 45 Π»Π΅Ρ, Π΄Π»ΠΈΡΠ΅Π»ΡΠ½ΠΎ ΡΡΡΠ°Π΄Π°ΡΡΠ΅ΠΉ Π»ΠΈΠΌΡΠΎΠ³ΡΠ°Π½ΡΠ»Π΅ΠΌΠ°ΡΠΎΠ·ΠΎΠΌ ΠΈ ΠΈΠΌΠ΅ΡΡΠ΅ΠΉ ΡΠΈΠ½ΠΊΠΎΠΏΠ°Π»ΡΠ½ΡΠ΅ ΡΠΎΡΡΠΎΡΠ½ΠΈΡ ΠΎΡΡΠΎΡΡΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π³Π΅Π½Π΅Π·Π°. ΠΠ±ΡΡΠΆΠ΄Π°ΡΡΡΡ ΡΡΡΠ΄Π½ΠΎΡΡΠΈ ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈΡ ΠΏΡΠΈΡΠΈΠ½ ΠΈ ΠΌΠ΅Ρ
Π°Π½ΠΈΠ·ΠΌΠΎΠ² ΠΎΡΡΠΎΡΡΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠΉ Π³ΠΈΠΏΠΎΡΠΎΠ½ΠΈΠΈ, Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΠΉ ΡΠ²ΡΠ·ΠΈ Π΅Π΅ ΠΏΠΎΡΠ²Π»Π΅Π½ΠΈΡ Ρ Π±Π°ΡΠΎΡΠ΅ΡΠ»Π΅ΠΊΡΠΎΡΠ½ΠΎΠΉ Π½Π΅Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎΡΡΡΡ Π½Π° ΡΠΎΠ½Π΅ ΠΊΡΡΡΠΎΠ² Π»ΡΡΠ΅Π²ΠΎΠΉ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ ΠΈ ΡΠ΅Π·Π΅ΠΊΡΠΈΠΈ ΡΠ΅ΠΉΠ½ΠΎΠ³ΠΎ Π»ΠΈΠΌΡΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΡΠ·Π»Π°, Π° ΡΠ°ΠΊΠΆΠ΅ Ρ Π²Π°Π·ΠΎΠ²Π°Π³Π°Π»ΡΠ½ΡΠΌΠΈ ΠΎΠ±ΠΌΠΎΡΠΎΠΊΠ°ΠΌΠΈ, ΠΎΡΠΌΠ΅ΡΠ°Π²ΡΠΈΠΌΠΈΡΡ Ρ Π±ΠΎΠ»ΡΠ½ΠΎΠΉ Π² ΠΌΠΎΠ»ΠΎΠ΄ΠΎΡΡΠΈ
ΠΠΈΡΡΠ΅ΡΠ΅Π½ΡΠΈΠ°Π»ΡΠ½Π°Ρ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠ° Π²Π°Π·ΠΎΠ²Π°Π³Π°Π»ΡΠ½ΠΎΠ³ΠΎ ΠΎΠ±ΠΌΠΎΡΠΎΠΊΠ°, ΠΎΡΡΠΎΡΡΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠΉ Π³ΠΈΠΏΠΎΡΠΎΠ½ΠΈΠΈ ΠΈ Π±Π°ΡΠΎΡΠ΅ΡΠ»Π΅ΠΊΡΠΎΡΠ½ΠΎΠΉ Π½Π΅Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎΡΡΠΈ Ρ Π±ΠΎΠ»ΡΠ½ΠΎΠΉ Ρ ΡΠΈΠ½ΠΊΠΎΠΏΠ°Π»ΡΠ½ΡΠΌΠΈ ΡΠΎΡΡΠΎΡΠ½ΠΈΡΠΌΠΈ
We present here a case report of recurring fainting due to orthostatic hypotension in a 45-year-old woman with Hodgkin's' disease, treated by radiation therapy and resection of cervical lymph node. We discuss difficulties of identification of etiology and mechanisms of orthostatic hypotension as well as possible role of baroreflex failure at the background of the Hodgkin's' disease treatment, and vasovagal syncope of which the patient suffered in her youth.ΠΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½ΠΎ ΠΎΠΏΠΈΡΠ°Π½ΠΈΠ΅ ΠΈΡΡΠΎΡΠΈΠΈ Π±ΠΎΠ»Π΅Π·Π½ΠΈ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΊΠΈ 45 Π»Π΅Ρ, Π΄Π»ΠΈΡΠ΅Π»ΡΠ½ΠΎ ΡΡΡΠ°Π΄Π°ΡΡΠ΅ΠΉ Π»ΠΈΠΌΡΠΎΠ³ΡΠ°Π½ΡΠ»Π΅ΠΌΠ°ΡΠΎΠ·ΠΎΠΌ ΠΈ ΠΈΠΌΠ΅ΡΡΠ΅ΠΉ ΡΠΈΠ½ΠΊΠΎΠΏΠ°Π»ΡΠ½ΡΠ΅ ΡΠΎΡΡΠΎΡΠ½ΠΈΡ ΠΎΡΡΠΎΡΡΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π³Π΅Π½Π΅Π·Π°. ΠΠ±ΡΡΠΆΠ΄Π°ΡΡΡΡ ΡΡΡΠ΄Π½ΠΎΡΡΠΈ ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈΡ ΠΏΡΠΈΡΠΈΠ½ ΠΈ ΠΌΠ΅Ρ
Π°Π½ΠΈΠ·ΠΌΠΎΠ² ΠΎΡΡΠΎΡΡΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠΉ Π³ΠΈΠΏΠΎΡΠΎΠ½ΠΈΠΈ, Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΠΉ ΡΠ²ΡΠ·ΠΈ Π΅Π΅ ΠΏΠΎΡΠ²Π»Π΅Π½ΠΈΡ Ρ Π±Π°ΡΠΎΡΠ΅ΡΠ»Π΅ΠΊΡΠΎΡΠ½ΠΎΠΉ Π½Π΅Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎΡΡΡΡ Π½Π° ΡΠΎΠ½Π΅ ΠΊΡΡΡΠΎΠ² Π»ΡΡΠ΅Π²ΠΎΠΉ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ ΠΈ ΡΠ΅Π·Π΅ΠΊΡΠΈΠΈ ΡΠ΅ΠΉΠ½ΠΎΠ³ΠΎ Π»ΠΈΠΌΡΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΡΠ·Π»Π°, Π° ΡΠ°ΠΊΠΆΠ΅ Ρ Π²Π°Π·ΠΎΠ²Π°Π³Π°Π»ΡΠ½ΡΠΌΠΈ ΠΎΠ±ΠΌΠΎΡΠΎΠΊΠ°ΠΌΠΈ, ΠΎΡΠΌΠ΅ΡΠ°Π²ΡΠΈΠΌΠΈΡΡ Ρ Π±ΠΎΠ»ΡΠ½ΠΎΠΉ Π² ΠΌΠΎΠ»ΠΎΠ΄ΠΎΡΡΠΈ