Head‐up tilt testing in children and young people: A retrospective observational study

Dietz, Sanne M.; Murfitt, J.; Florence, Lyndsey; Thakker, P; Whitehouse, William

doi:10.1111/j.1440-1754.2010.01951.x

Cited by 5 publications

(2 citation statements)

References 19 publications

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“…The sensitivity of the test can be increased, with an associated fall in specificity, by the use of longer tilt durations, steeper tilt angles, and provocative agents, such as isoproterenol or nitroglycerin. [84][85][86] HUTT has been safely performed in children greater than 6 years of age. If cooperative, it can also be performed in younger children.…”

Section: Video-assisted Recordingmentioning

confidence: 98%

Syncope in Children and Adolescents

Kanjwal

Calkins

2015

Cardiology Clinics

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Section: Video-assisted Recordingmentioning

confidence: 98%

Syncope in Children and Adolescents

Kanjwal

Calkins

2015

Cardiology Clinics

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“…Although it is usually a benign disorder, recurrent syncope may be harmful, may lead to trauma or injury and may induce anxiety. There are many causes of syncope, the most common is neurally-mediated syncope (NMS), sometimes defined as vasovagal syncope or reflex syncope or neurocardiogenic syncope (7). A careful history and physical examination, including lying and standing blood pressure (BP) measurement while lying and standing, heart rate (HR) measurements and a routine electrocardiography (ECG) are essential to make an accurate diagnosis (8)(9)(10)(11).…”

Section: Introductionmentioning

confidence: 99%

Predictors of vasovagal syncope recurrence in children and adolescents and value of head-up tilt table test

Yılmaz¹,

Binnetoğlu²,

Babaoğlu³

et al. 2013

Anadolu Kardiyol Derg

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Objective: The aim of the study was to define predictors of syncope recurrence in children and adolescents with vasovagal syncope and to determine the value of tilt test. Methods: A retrospective observational study performed of prospective cohort of 150 patients aged between 8-18 years who were referred to our clinic because of fainting or who underwent tilt test with the pre-diagnosis of vasovagal syncope. The progress updated by telephone or face-to-face interview. Unpaired t-test, Mann-Whitney U test used for normal and non-normal distributed variables. Logistic regression analysis was used to determine the predictors of recurrence. Results: Tilt test was positive in 97 and negative in 53 patients. Forty-eight patients had mixed, 34 had vasodepressor and 15 had cardioinhibitory type syncope. Recurrence found significantly higher in patients who had syncope in the first 20 minutes of the test (p=0.012). The number of the episodes decreased after the test; 3.86±4.75 vs 0.73±0.44, p<0.001). The recurrence was higher in patients who had more than 4 episodes. The recurrence was similar between positive and negative tilt groups. Age of syncope (OR 1.01, 95% CI 1.002, p=0.027) positive family history (OR 4.47, 95% CI 1.071-1.389, p=0.001) and the number of previous syncopal episodes (OR 1.22, 95% CI 1.882-10.623, p=0.003) were identified as risk factors for recurrence of vasovagal syncope. Original Investigation Özgün Araşt›rma 688ÖZET Amaç: Bu çalışmada vazovagal senkoplu çocuk ve adölesanlarda senkop yinelemesinin öngördürücülerini saptamak ve tilt testinin bu süreçte-ki değerini belirlemek amaçlanmıştır. Yöntemler: Kliniğimize daha önce bayılma nedeniyle başvuran ve senkop nedeni açıklanamayan veya vazovagal senkop düşünülerek tilt testi yapılmış, 8-18 yaş arası 150 hastanın kayıtları ileriye dönük retrospektif gözlemsel olarak değerlendirilerek, son durumları telefon veya yüz yüze görüşülerek güncellendi. Normal ve normal olmayan değişkenler için t-testi ile Mann-Whitney U testi, vazovagal senkop rekürrens öngördürü-cülerinin saptanması için lojistik regresyon kullanıldı. Bulgular: Tilt testi yapılan 150 hastanın 97'sinde tilt testi pozitif, 53'ünde negatif bulunmuştur. Tilt testi 48 hastada mikst, 34 hastada vazodepresör ve 15 hastada kardiyo-inhibitör şeklindeydi. Tilt testi 65 hastada pasif, 32 hastada provokatif fazda pozitifleşti. Testin ilk 20 dakikası içinde senkop görülenlerde anlamlı olarak senkop yinelemesinin daha fazla olduğu gözlendi (p=0,012). Tilt testi yapılana kadar tüm hastalarda senkop sayısı ortalama 3,86±4,75 iken test yapıldıktan sonra senkop sayısı ortalama 0,73±0,44 olarak bulundu (p<0,001). Daha önce dörtten fazla senkop geçi-renlerde yineleme oranı daha yüksek bulundu. Tilt testi pozitif ve negatif olanlarda yineleme oranları arasında istatistiksel olarak fark saptanmadı. Senkop yaşı (OR 1,01, %95 CI 1,002, p=0,027), pozitif aile öyküsü (OR 4,47, %95 CI 1,071-1,389, p=0,001), daha önceden geçirilmiş senkop atak sayısı (OR 1,22, %95 CI 1,623, p=0,003), senkop yinelemesinin bağı...

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Syncope in Children and Adolescents

Kanjwal

Calkins

2013

Cardiac Electrophysiology Clinics

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Head‐up tilt testing in children and young people: A retrospective observational study

Cited by 5 publications

References 19 publications

Syncope in Children and Adolescents

Syncope in Children and Adolescents

Predictors of vasovagal syncope recurrence in children and adolescents and value of head-up tilt table test

Syncope in Children and Adolescents

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