[Clinical characteristics and head-up tilt test results with three protocols in 1661 patients with syncope].
نویسندگان
چکیده
Because of the absence of a uniform protocol for the head-up tilt table test (HUT), we compared 1,661 consecutive patients with syncope referred for HUT. The influence of age and gender on the results (positive response rate and patterns) obtained with three different protocols, Westminster, isoprenaline and nitroglycerin (groups A, B and C) was analyzed. The proportion of women was larger in the youngest age group. A positive response to HUT was observed in 592 patients. The positive response rate to the HUT was higher in groups B and C than in group A, and the rate diminished with age in groups A and C, because of the decrease in mixed-positive responses, but not in group B. The rate of positive responses was similar in groups A and C, but different in group B; no influence of gender on these results was observed. The results with the Westminster and nitroglycerin protocols were similar, but the rate of positive responses was higher in the latter.
منابع مشابه
Randomized Prospective Comparison of Two Protocols for Head-up Tilt Testing in Patients with Normal Heart and Recurrent Unexplained Syncope
BACKGROUND This randomized study was aimed to compare the diagnostic value of two head-up tilt testing protocols using sublingual nitroglycerin for provocation in patients with recurrent unexplained syncope and normal heart. METHODS The patients with normal findings in physical examination, electrocardiography and echocardiography were randomly submitted to one of upright tilt test protocols....
متن کاملThe Newcastle protocols for head-up tilt table testing in the diagnosis of vasovagal syncope, carotid sinus hypersensitivity, and related disorders.
Head-up tilt table testing had been used as an investigative tool in the pathophysiology of orthostatic stress for more than 50 years, before the initial demonstration of its utility in the diagnosis of unexplained syncope. The Westminster group’s landmark study found that 67% of patients with otherwise unexplained syncope demonstrated a vasovagal reaction during head-up tilt, compared to only ...
متن کاملPediatric Cardiology Tilt Table Test in Children with Unexplained Syncope
Background: Neurocardiogenic syncope is well known as the most frequent cause of syncope in childhood. The head-up tilt table test (HUTT) is now widely used to evaluate patients with unexplained syncope. Although many reports have reported on children associated with neurocardiogenic syncope, the relationship between the clinical characteristics of those patients and the results of the HUTT rem...
متن کاملClinical features of adenosine sensitive syncope and tilt induced vasovagal syncope.
AIM To evaluate the possible relation between adenosine sensitive syncope and tilt induced vasovagal syncope. METHODS An ATP test and a head up tilt test were performed in 175 consecutive patients with syncope of uncertain origin. The ATP test consisted of the rapid intravenous injection of 20 mg of ATP; a positive response was defined as the induction of a ventricular pause (maximum RR inter...
متن کاملEffect of patient characteristics on the yield of prolonged baseline head-up tilt testing and the additional yield of drug provocation.
OBJECTIVE To define the value of tilt testing and hte additional yield of drug provocation over prolonged baseline tilt in different patient subgroups. (Many different protocols are in use for head-up tilt testing in heterogeneous groups of patients. Not all patients in reported series have recurrent syncope, and there is often a wide age range and a variable incidence of structural heart disea...
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ورودعنوان ژورنال:
- Revista espanola de cardiologia
دوره 56 9 شماره
صفحات -
تاریخ انتشار 2003