Tilt table testing for assessing syncope

Benditt, David G.; Ferguson, David W.; Grubb, Blair P.; Kapoor, Wishwa N.; Kugler, John D.; Lerman, Bruce B.; Maloney, James D.; Raviele, Antonio; Ross, Bertrand A.; Sutton, Richard; Wolk, Michael J.; Wood, Douglas L.

doi:10.1016/0735-1097(96)00236-7

Cited by 510 publications

(270 citation statements)

References 80 publications

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“…The test table has a footrest and safety straps and it can be tilted up to 60 or 70 degrees ( Figure 1). Angles that are above and below the default configuration show lower specificity and lower sensitivity of HUTT, respectively 1,23 . Throughout the examination, electrocardiogram and blood pressure (BP) readings are used to monitor the patient.…”

Section: Recommended Methodologymentioning

confidence: 99%

Teste de inclinação (Tilt-test): do necessário ao imprescindível

Macedo

Leite²,

Santos-Neto

et al. 2011

Arq. Bras. Cardiol.

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Section: Recommended Methodologymentioning

confidence: 99%

Teste de inclinação (Tilt-test): do necessário ao imprescindível

Macedo

Leite²,

Santos-Neto

et al. 2011

Arq. Bras. Cardiol.

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“…The physical examination and noninvasive tests, such as 12-lead electrocardiography, 24-hour ambulatory Holter monitoring, and echocardiography disclosed negative findings [15][16][17] . Patients' mean age was 27±19 years (ranging from 6 to 70 years) and 30 were female.…”

Section: Methodsmentioning

confidence: 99%

“…However, clinical studies assessing short-and long-term outcome in these patients are limited and have conflicting results 13,14 . Studies evaluating immediate and long-term reproducibility of the test have demonstrated that concordance between 2 positive tests is lower than between 2 negative tests [15][16][17][18][19][20][21][22][23] .…”

mentioning

confidence: 99%

Does a Role Exist for Tilting-Guided Therapy in the Management of Neurocardiogenic Syncope?

Hachul¹,

Scanavacca²,

Sosa³

2002

Arq. Bras. Cardiol.

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Purpose -Upright tilt-table testing (UTT) is an useful method for identifying patients with neurocardiogenic syncope, but its role in the evaluation of therapeutic efficacy is controversial. The aim of this study was to determine the correlation between negative UTT after therapy introduction (acute efficacy) and symptom recurrence during follow-up (chronic efficacy). Methods -We studied 56 severely symptomatic patients (age 27±19 years) with recurrent (7±12 episodes) neurocardiogenic syncope (positive UTT). Once empirical pharmacological therapy was initiated, all patients underwent another UTT (therapeutic evaluation test -TET). Therapy was not modified after TET results. The probability of symptom recurrence was analyzed with the Kaplan-Meier method and compared by log-rank test in patients with negative and positive TET.Results -Negative UTT after therapy was related to a significantly lower probability of recurrence during follow-up (4.9 versus 52.4% in 12 months, P<0.0001). Conclusion -A good correlation exists between acuteand long-term efficacy of pharmacological therapy for neurocardiogenic syncope, so that serial UTT may be considered a good method for identifying an effective therapeutic strategy.

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“…The HUT test was performed using a motorized tilt table according to the guidelines provided by the American College of Cardiology Expert Consensus [19]. HUT testing was performed in a sound proof room at an air temperature of 26.4 ± 0.1 [SE]°C, and humidity of 39 ± 3 %.…”

Section: Experimental Protocolmentioning

confidence: 99%

Arterial blood pressure response to head-up tilt test and orthostatic tolerance in nurses

Onizuka

Niimi²,

Sato

et al. 2015

Environ Health Prev Med

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Objectives High tolerance to postural changes was examined in nurses. Methods Twelve female nurses and 12 healthy controls underwent a 70°head-up tilt (HUT) test for 10 min. Blood pressure (BP), heart rate (HR), pulse pressure, and hormone levels were measured. Baroreceptor sensitivity (BRS) was calculated using a sequence technique. Results HR increased during HUT in both subject groups, with no difference between groups. Systolic BP was rapidly increased by HUT in both subject groups, and was higher in the nurse group than in the control group during the first 2 min of HUT. Pulse pressure decreased during 1-2.5 min of HUT in the control group, but there was no decrease in the nurse group. BRS was decreased by HUT in the nurse group, while it tended to be decreased in the control group. Both during baseline and HUT, BRS was lower in the nurse group than in the control group. Plasma noradrenaline increased with HUT, and the increase was greater in the nurse group than in the control group. Conclusions Although nurse subjects had a lower BRS during HUT than control subjects, they were able to effectively maintain BP during HUT, suggesting that nurse subjects had higher orthostatic tolerance. The better maintenance of BP in nurse subjects appeared to be associated with a compensatory mechanism other than the arterial baroreflex and/or a hemodynamic mechanism.

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Tilt table testing for assessing syncope

Cited by 510 publications

References 80 publications

Teste de inclinação (Tilt-test): do necessário ao imprescindível

Teste de inclinação (Tilt-test): do necessário ao imprescindível

Does a Role Exist for Tilting-Guided Therapy in the Management of Neurocardiogenic Syncope?

Arterial blood pressure response to head-up tilt test and orthostatic tolerance in nurses

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