The Application of Head-Up Tilt Test to Diagnose Hemodynamic Type of Orthostatic Intolerance in Children Aged Between 3 and 5 Years

Zou, Runmei; Wang, Shuo; Li, Fang; Lin, Ping; Zhang, Juan; Wang, Yuwen; Xu, Yang; Wang, Cheng

doi:10.3389/fped.2021.623880

Cited by 9 publications

(7 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Detailed instructions and risks should be described to children and their legal guardians/parents. Signed informed consent should be obtained before the test ( 9 , 18 , 19 ).…”

Section: Study Population and Methodsmentioning

confidence: 99%

Application of mind map can promote the health education effect of children with vasovagal syncope

Liu

Mei²,

Zhou³

et al. 2023

Front. Cardiovasc. Med.

Self Cite

View full text Add to dashboard Cite

ObjectiveTo explore the effect of mind map on health education in children with vasovagal syncope (VVS).MethodsIn this prospective controlled study, 66 children with VVS (29 males, 10.38 ± 1.80 years) and their parents (12 males, 39.27 ± 3.74 years) who were hospitalized in the Department of Pediatrics, The Second Xiangya Hospital, Central South University from April 2020 to March 2021 were set as the control group. 66 children with VVS (26 males, 10.29 ± 1.90 years) and their parents (9 males, 38.65 ± 1.99 years) who were hospitalized in the same hospital from April 2021 to March 2022 were set as the research group. Traditional oral propaganda method was applied in the control group, and the health education method based on mind map was applied in the research group. The self-designed VVS health education satisfaction questionnaire and comprehensive health knowledge questionnaire were used to conduct on-site return visits to the children and their parents who had been discharged from the hospital for 1 month.ResultsThere was no significant difference in age, sex, hemodynamic type of VVS, and the parental age, sex, education level between the control group and the research group (P > 0.05). Health education satisfaction score, health education knowledge mastery score, compliance score, subjective efficacy and objective efficacy in the research group were higher than those in the control group (P < 0.05). If the satisfaction score, knowledge mastery score, and compliance score increase by 1 point, the risk of poor subjective efficacy is reduced by 48, 91, and 99%, respectively, and the risk of poor objective efficacy is reduced by 44, 92, and 93%, respectively.ConclusionsApplication of mind map can improve the health education effect of children with VVS.

show abstract

“…Detailed instructions and risks should be described to children and their legal guardians/parents. Signed informed consent should be obtained before the test ( 9 , 18 , 19 ).…”

Section: Study Population and Methodsmentioning

confidence: 99%

Application of mind map can promote the health education effect of children with vasovagal syncope

Liu

Mei²,

Zhou³

et al. 2023

Front. Cardiovasc. Med.

Self Cite

View full text Add to dashboard Cite

show abstract

“…Positive responses of the patients were due to VVS, postural tachycardia syndrome (POTS), and orthostatic hypotension (OH). Vasovagal syncope was defined as syncope or near-syncope, simultaneously accompanied by the following hemodynamic changes: a BP decrease [systolic BP (SBP) ≤ 80 mmHg and/or a diastolic BP (DBP) ≤ 50 mmHg or a mean arterial pressure decrease ≥25%] and/or bradycardia (HR <50 bpm) or cardiac arrest >3 s ( 9 – 11 ). Vasovagal syncope was further classified into three responses based on the classification of the Vasovagal Syncope International Study (VASIS) ( 12 ): mixed type (VASIS I), cardioinhibitory type (VASIS II), and vasodepressor type (VASIS III).…”

Section: Study Population and Methodsmentioning

confidence: 99%

Clinical Features of Patients Undergoing the Head-Up Tilt Test and Its Safety and Efficacy in Diagnosing Vasovagal Syncope in 4,873 Patients

Cao

Wang

et al. 2022

Front. Cardiovasc. Med.

View full text Add to dashboard Cite

Background: The head-up tilt test (HUTT) is a useful diagnostic tool in patients with suspected vasovagal syncope (VVS).Objectives: We aimed to investigate the direct drug-potentiated HUTT in patients with recurrent syncope or precursor syncope and to assess the diagnostic value of the direct drug-potentiated HUTT.Methods: The medical history and direct drug-potentiated HUTT records of patients who complained of syncope or precursor syncope and who visited The Xianyang Central Hospital from January 2016 to December 2020 were retrospectively reviewed.Results: A total of 4,873 patients (age = 43.8 ± 17.6 years; male = 2,064 [42.4%]) were enrolled in our study. Overall, 2,343 (48.1%) showed positive responses as follows: 1,260 (25.9%) with the mixed type, 34 (0.7%) with the cardioinhibitory type, 580 (11.9%) with the vasodepressor type, 179 (3.7%) with postural tachycardia syndrome (POTS), and 290 (6.0%) with orthostatic hypotension (OH). The study showed that prior to syncope or near-syncope symptoms, patients first presented an increase in heart rate (HR), followed by decreases in blood pressure (BP) and HR successively. Among the patients in the syncope group, the sensitivity of the HUTT was 65.9%, which was significantly higher than a sensitivity of 44.8% for patients in the non-syncope group (P < 0.01). The sensitivity of the HUTT was higher for females than males in both the syncope group (52.6% in males and 77.9% in females, P < 0.01) and the non-syncope group (36.5% in males and 50.6% in females, P < 0.01). Within the four age groups (<20, 21–40, 41–60, and >60 years old), the sensitivities were 74.7%, 67.7%, 45.6%, and 31.2%, respectively. And all gender, age and symptom (whether suffered from a syncope or not) significantly affected the positive responses of HUTT. There were two adverse events and no deaths during the HUTT in this study.Conclusion: The direct drug-potentiated HUTT is a safe and highly sensitive tool with which to diagnose VVS. Patients with precursor syncope symptoms without syncope should undergo a HUTT, especially young females presenting with weakness and sweating, which can decrease the probability of a misdiagnosis or a missed diagnosis.

show abstract

“…Head-up tilt test (HUTT) is used for assessing patients with suspected syncope but lack of confirmed diagnosis after an initial assessment, or a differential diagnosis of convulsive syncope from epilepsy or pseudo-syncope from VVS [17]. The head-up tilt period is performed under two conditions: passive (without any provocative drugs), and pharmacological (with drug challenge).…”

Section: Head-up Tilt Testmentioning

confidence: 99%

The Diagnosis and Management of Vasovagal Syncope in Pediatric Patients

Zou¹,

Wang²,

Wang³

2022

J. Neurol. Epidemiol.

View full text Add to dashboard Cite

Vasovagal syncope is the most common cause of syncope in pediatric patients. The present study is aim to provide a comprehensive literature review of the latest advances in the diagnosis and treatment of vasovagal syncope in children. Diagnosis of vasovagal syncope is based on clinical history. For patients with suspected VVS but lack of confident diagnosis after initial assessment, head-up tilt test is helpful. There are four options for treatment of vasovagal syncope: conservative therapy, pharmacologic therapy, pacemaker therapy, and catheter ablation of ganglionated plexi. Conservative therapy (health education, avoidance of triggers, salts and water intake, physical countermeasures and orthostatic training) is recommended for patients with occasional syncope. Pharmacological therapy should be considered for patients with recurrent syncope or for whom conservative therapy has failed. Patients with the predominantly cardioinhibitory response, associated with repeated injury, limited prodromes, and documented asystole may benefit from cardiac pacing. Catheter ablation of ganglionated plexi is a new strategy, its efficacy and safety in pediatric patients should be verified by randomized controlled trials.

show abstract

The Application of Head-Up Tilt Test to Diagnose Hemodynamic Type of Orthostatic Intolerance in Children Aged Between 3 and 5 Years

Cited by 9 publications

References 20 publications

Application of mind map can promote the health education effect of children with vasovagal syncope

Application of mind map can promote the health education effect of children with vasovagal syncope

Clinical Features of Patients Undergoing the Head-Up Tilt Test and Its Safety and Efficacy in Diagnosing Vasovagal Syncope in 4,873 Patients

The Diagnosis and Management of Vasovagal Syncope in Pediatric Patients

Contact Info

Product

Resources

About