Patients parameters and results of the tilt table test depending on referrals

نویسندگان

چکیده

Abstract Introduction The tilt table examination (TTT) is used to investigate patients with syncope for 50 years, and was downgraded by the 2018 Guidelines of European Society Cardiology syncope-evaluation from class I II a/b. Aim study assess changes in referrals TTT 2014 2018. In addition, it examined if there were differences history, clinical findings, results among depending on referral TTT. Patients methods Included retrospective cohort 205 patients, 49% females, mean age 52 (15–82) whom carried out between a cardiology department. Information discharge letters electronic hospital information system collected. Results Referrals suspected orthostatic hypotension (OH) (n=53), reflex (n=98), unexplained (n=54). By diagnosis OH established 32%, 27%, postural tachycardia syndrome 16%. There an increase positive findings 2016 (54 79%, p=0.039). decreased (33 vs. 14%, Compared syncope, suffered more coronary artery disease (CHD) (19 5%, p=0.011) arrhythmias (24 10%, p=0.032), often taking beta-blockers (26 7%, p=0.002) had ST-segment abnormalities (11 1%, p=0.008). OH, palpitations 8%, p=0.0024). comorbidities such as CHD (17 p=0.036), hypertension (45 18%, p=0.01), diabetes mellitus (25 3%, p=0.0) synucleinopathies (6 0%, p=0.042) took antidiabetic (23 4%, p=0.001), antithrombotic (42 12%, p=0.0), diuretic (15 2%, p=0.004), beta blocking p=0.009), anticonvulsant p=0.042), antiparkinsonian antidepressant agents 11%, p=0.022) statins p=0.004). prodromes like flushing p=0.001) nausea Conclusions If are referred appropriate reasons, has high diagnostic value. confirm other studies indicating that may suggest cardiac origin. Funding Acknowledgement Type funding sources: None.

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ژورنال

عنوان ژورنال: European Heart Journal

سال: 2022

ISSN: ['2634-3916']

DOI: https://doi.org/10.1093/eurheartj/ehac544.419