The Newcastle protocols for head-up tilt table testing in the diagnosis of vasovagal syncope, carotid sinus hypersensitivity, and related disorders

Kenny, Rose Anne; O’Shea, Diarmuid; Parry, Steve W.

doi:10.1136/heart.83.5.564

Cited by 128 publications

(129 citation statements)

References 48 publications

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“…Geriatricians are frequently involved in the delivery of specialist outpatient services, including falls clinics [39], memory clinics, transient ischaemic attack clinics, Parkinson's disease (PD) services [40], bone health clinics [41] and continence care [42]. Across Europe variation is seen in how such services are delivered.…”

Section: Out-patientmentioning

confidence: 99%

New horizons in geriatric medicine education and training: The need for pan-European education and training standards

Fisher

Masud

Holm

et al. 2017

European Geriatric Medicine

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Section: Out-patientmentioning

confidence: 99%

New horizons in geriatric medicine education and training: The need for pan-European education and training standards

Fisher

Masud

Holm

et al. 2017

European Geriatric Medicine

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“…Although this requires much further study, perhaps this measure could eventually be used to replace tilt-table testing in frail older adults with contraindications such as severe coronary disease or cerebrovascular stenosis. 38 …”

Section: Discussionmentioning

confidence: 99%

Arterial baroreflex function in older adults with neurocardiogenic syncope

Madden¹,

Lockhart²

2009

CIM

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Clin Invest Med 2009; 32 (3): E191-E198. AbstractPurpose: Neurocardiogenic syncope (formerly vasovagal) accounts for large numbers of falls in older adults and the mechanisms are poorly understood. This study examined the differences in baseline arterial baroreflex function in older adults with and without a neruocardiovascular response to orthostatic stress. Methods: Subjects were divided into two groups based on the presence (TT+ group) or absence (TT-group) of a neurocardiovascular response to upright tilting (70 degree head-up tilt for 10 minutes after 400 micrograms of sublingual nitroglycerin). A neurocardiovascular response was defined as presyncopal symptoms (lightheadedness) in association with at least a 30 mm Hg decrease in blood pressure. Before being divided into groups, baroreflex function was assessed using the spontaneous baroreflex method (baroreflex sensitivity, BRS). This method involves the analysis of "spontaneous" swings in blood pressure and heart rate that are mediated by the arterial baroreflexes. Results: 42 older adults (mean age 70.3±0.7 yr) were recruited, of which 18 were in the TT+ and 24 were in the TT-group. At baseline, the TT+ group demonstrated increased arterial baroreflex sensitivity in response to negative blood pressure sequences only (BRSdown, 11.2±1.9 vs. 7.3±1.0 ms/mm Hg, P=0.011). During tilt, the TT+ group demonstrated a much larger decrease in overall arterial baroreflex sensitivity than the TT-group (-6.8±1.2 vs. -3.2±0.9 ms/mm Hg, P=0.012). There was a negative correlation between BRSdown and length of tilt table test (r=-0.329, P=0.041) in the TT+ subjects. Conclusion: Older adults with neurocardiogenic syncope have exaggerated arterial baroreflex sensitivity at baseline.

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“…This is suggested by the fact that patients often spontaneously improve following TTT a test used to diagnose VVS (Kenny et al 2000), presumably as a result of the reassurance and education they receive following the test (Grimm et al 1997;Natale et al 1996). The Common Sense Model of Health and Illness (Cameron and Leventhal 2003;Cameron and Leventhal 1995;Leventhal et al 2003) suggests that, when facing a threat to their health, individuals develop cognitive and emotional representations (beliefs) of this threat and cope with it according to their representations.…”

Section: Introductionmentioning

confidence: 94%

Quality of Life in Patients with Recurrent Vasovagal or Unexplained Syncope: Influence of Sex, Syncope Type and Illness Representations

St-Jean

Kús

Dupuis

et al. 2008

Applied Research Quality Life

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Health-related quality of life (QoL) is reduced in patients with recurrent vasovagal (VVS) or unexplained (US) syncope. Little is known regarding these patients' QoL as pertains to their capacity to attain their life goals. Factors influencing QoL, such as sex, syncope type and illness representations have not been studied. Our objective is to examine the relationship between illness representations and QoL, as well as possible sex and syncope type differences. One hundred and Applied Research Quality Life (

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The Newcastle protocols for head-up tilt table testing in the diagnosis of vasovagal syncope, carotid sinus hypersensitivity, and related disorders

Cited by 128 publications

References 48 publications

New horizons in geriatric medicine education and training: The need for pan-European education and training standards

New horizons in geriatric medicine education and training: The need for pan-European education and training standards

Arterial baroreflex function in older adults with neurocardiogenic syncope

Quality of Life in Patients with Recurrent Vasovagal or Unexplained Syncope: Influence of Sex, Syncope Type and Illness Representations

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