Usefulness of the Head Up Tilt Test and Carotid Sinus Massage in a Geriatric Unit Setting

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Diagnostic relevance of the carotid sinus massage during a head up tilt table test (HUTT).

BACKGROUND Syncope due to carotid sinus hypersensitivity (CSH) may be underdiagnosed due to a low level of diagnostic suspicion and fear of complications caused by massage of the carotid sinus. OBJECTIVE To investigate the relevance of carotid sinus massage in the diagnosis of non-convulsive faints and unexplained falls. METHODS Two-hundred and fifty-nine patients with a mean age of 50+/-24...

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The usefulness of carotid sinus massage in different patient groups.

AIM to determine the positive yield of carotid sinus massage in different patient groups: unexplained syncope, falls, dizziness and controls. DESIGN observational study. SETTING teaching hospital. METHODS we studied consecutive patients over the age of 60 years referred to the 'falls clinic' with a history of unexplained syncope, unexplained falls and unexplained dizziness. We also studie...

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Carotid sinus massage in carotid sinus syndrome.

CASE REPORT A 71-year-old man was admitted to the cardiac unit having had a syncopal episode whilst eating lunch. During the meal he felt nauseated, dizzy and faint and then lost consciousness. After rapid spontaneous recovery he complained of further nausea and vomited until hospital admission. There were no epileptiform movements during the syncope. For the previous year he had had almost dai...

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The usefulness of the head-up tilt test in patients with suspected epilepsy

PURPOSE It is estimated that approximately 20-30% of patients diagnosed with epilepsy have been misdiagnosed, and neurocardiogenic syncope (NCS) might frequently be the real cause of transient loss of consciousness (TLOC) episodes. We assessed the role of the head-up tilt test (HUTT) in patients previously diagnosed with refractory epilepsy to evaluate the ability of this test to correctly diag...

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Usefulness of head up tilt test in the diagnosis of neurocardiogenic syncope.

Sir, I read with interest the article published by Udani V et al, which is a retrospective and part prospective study, evaluating the usefulness of head up tilt test in the diagnosis of neurocardiogenic syncope. The authors have made a good attempt to analyze the significance of HUTT in ruling out other perturbing causes of syncope in children and adolescents such as seizure disorders and verti...

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ژورنال

عنوان ژورنال: Age and Ageing

سال: 1998

ISSN: 0002-0729,1468-2834

DOI: 10.1093/ageing/27.suppl_2.24-c