Differential blood pressure behaviour as an early predictor of the outcome of the Head-Up Tilt-Table test among patients with neurally-mediated syncope

10.5580/1d4d ◽  
2008 ◽  
Vol 5 (2) ◽  
Keyword(s):  
Blood Pressure ◽  
Tilt Table Test ◽  
Tilt Table ◽  
Neurally Mediated Syncope ◽  
Head Up Tilt ◽  
Early Predictor

Correlation of Postural Blood Pressure Test and Head-Up Tilt Table Test in Patients with Vasovagal Syncope

Cardiology ◽  
2007 ◽  
Vol 107 (4) ◽  
pp. 380-385 ◽  
Author(s):  
Muhammet Ali Aydin ◽  
Kai Mortensen ◽  
Thomas Meinertz ◽  
Andreas Schuchert ◽  
Stephan Willems ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Vasovagal Syncope ◽  
Tilt Table Test ◽  
Tilt Table ◽  
Pressure Test ◽  
Head Up Tilt

scholarly journals Correlation of head-up tilt table test time interval with risk of recurrent syncope

2015 ◽  
Vol 67 ◽  
pp. S77
Author(s):  
R.K. Gokhroo ◽  
Kumari Priti ◽  
A. Avinash ◽  
Bhanwar Lal Ranwa ◽  
Kamal Kishor ◽  
...  
Keyword(s):  
Test Time ◽  
Time Interval ◽  
Tilt Table Test ◽  
Tilt Table ◽  
Head Up Tilt

Repolarization disparity as a predictor of response to Head Up Tilt‐table Test in pediatric syncope

2021 ◽  
Author(s):  
Mohammad Reza Khalilian ◽  
Abdolrahim Ghasemi ◽  
Narges Khazaei ◽  
Sara Khoshkhou ◽  
Elham Mahmoudi
Keyword(s):  
Tilt Table Test ◽  
Tilt Table ◽  
Head Up Tilt

scholarly journals Pulsed Wave Doppler Ultrasound Is Useful to Assess Vasomotor Response in Patients with Multiple System Atrophy and Well Correlated with Tilt Table Study

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Ke-Vin Chang ◽  
Wen-Shiang Chen ◽  
Ruey-Meei Wu ◽  
Ssu-Yuan Chen ◽  
Hsiu-Yu Shen ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Correlation Analysis ◽  
Multiple System Atrophy ◽  
Cardiovascular Response ◽  
Vasomotor Response ◽  
Tilt Table ◽  
Hemodynamic Variables ◽  
Pulsed Wave Doppler ◽  
Head Up Tilt

The study aim was to assess sympathetic vasomotor response (SVR) by using pulsed wave Doppler (PWD) ultrasound in patients with multiple system atrophy (MSA) and correlate with the tilt table study. We recruited 18 male patients and 10 healthy men as controls. The SVR of the radial artery was evaluated by PWD, using inspiratory cough as a provocative maneuver. The response to head-up tilt was studied by a tilt table with simultaneous heart rate and blood pressure recording. The hemodynamic variables were compared between groups, and were examined by correlation analysis. Regarding SVR, MSA patients exhibited a prolonged latency and less heart rate acceleration following inspiratory cough. Compared with the tilt table test, the elevation of heart rate upon SVR was positively correlated to the increase of heart rate after head-up tilt. The correlation analysis indicated that the magnitude of blood pressure drop from supine to upright was positively associated with the SVR latency but negatively correlated with the heart rate changes upon SVR. The present study demonstrated that blunted heart rate response might explain MSA's vulnerability to postural challenge. PWD may be used to predict cardiovascular response to orthostatic stress upon head-up tilt in MSA patients.

scholarly journals Relation of body mass index (BMI) with cardiovascular response to head up tilt in healthy subjects

2020 ◽  
Vol 15 (1) ◽  
pp. 6-10
Author(s):  
Sadia Afrin Rimi ◽  
Shamima Sultana ◽  
Iffat Rezwana ◽  
Sultana Ferdousi
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Systolic Blood Pressure ◽  
Healthy Subjects ◽  
Cardiovascular Response ◽  
Tilt Test ◽  
Tilt Table ◽  
Chi Square ◽  
Female Head ◽  
Head Up Tilt

Background: Tilt table test is used for the last few decades to detect cause in unexplained syncope. The response to tilting may vary physiologically with obesity. Objective: To assess the relationship of BMI to cardiovascular response to tilting. Methods: This experimental study was conducted from March 2019 to Feb 2020 on 90 healthy subjects with different BMI. Fifty one subjects of both gender with BMI 18.5-24.9 kg/m2 were included in the non-obese group and 39 subjects of both gender with BMI of 25-29.9 kg/m2 were included in overweight group and they were further subdivided into male and female. Head up tilting was done for 10 minutes at 600 by using a motorized tilt table. Systolic blood pressure (SBP), diastolic blood pressure (DBP) were recorded by an automatic sphygmomanometer. Heart rate (HR) and peripheral capillary oxygen saturation (SpO2) were measured by a pulse oximeter. For statistical analysis, Independent sample ‘t’ test, Pearson’s correlation test and Chi square tests were applied. Results: Significantly smaller rise of heart rate was observed in overweight males and greater fall of systolic blood pressure was observed in overweight females. Conclusion: This study concluded that over weight is associated with reduced orthostatic tolerance to head up tilt test in both genders. J Bangladesh Soc Physiol. 2020, June; 15(1): 6-10

The Use of Transcranial Doppler during Tilt Table Testing in Children Presenting with Syncope

2007 ◽  
Vol 31 (2) ◽  
pp. 81-86 ◽  
Author(s):  
Heather A. Nicoletto ◽  
Mark W. Ellis ◽  
Daniel T. Laskowitz ◽  
Ronald J. Kanter ◽  
April E. Perry ◽  
...  
Keyword(s):  
Transcranial Doppler ◽  
Psychiatric Treatment ◽  
Cerebral Arteries ◽  
Tilt Table Test ◽  
Tilt Table ◽  
Multimodal Monitoring ◽  
Neurally Mediated Syncope ◽  
Middle Cerebral Arteries ◽  
Tilt Table Testing ◽  
Flow Velocities

Childhood syncope is common, and there are three categories of causes of syncope: noncardiovascular pseudosyncope, cardiovascular syncope, and neurally mediated syncope. Tilt table testing has become a valuable tool in the evaluation for the cause of syncope in children. Adding transcranial Doppler (TCD) to the tilt table test to monitor the middle cerebral arteries (MCA) adds valuable information about the cerebral blood flow during a syncopal episode and can help the physician differentiate between the various causes of syncope. Three children with frequent syncopal episodes were evaluated using tilt table testing with multimodal monitoring, including TCD. One child, during her syncopal episode, had an increase in blood pressure, heart rate, and MCA flow velocities. This finding was consistent with noncardiovascular pseudosyncope, and she was sent for psychiatric treatment. The other two patients had hypotension, bradycardia, a significant decrease in MCA flow velocities, and an increase in pulsatility indices. Additionally, one of them experienced a 6-sec period of asystole. Both were diagnosed with neurally mediated syncope and were placed on fludrocortisone and a water and salt regimen.

scholarly journals The Differences in the Diagnostic Profile in Children with Vasovagal Syncope between the Result of Head-Up Tilt Table Test

2020 ◽  
Vol 17 (12) ◽  
pp. 4524
Author(s):  
Ewelina Kolarczyk ◽  
Lesław Szydłowski ◽  
Agnieszka Skierska ◽  
Grażyna Markiewicz-Łoskot
Keyword(s):  
Medical Records ◽  
Vasovagal Syncope ◽  
Speech Disorders ◽  
Tilt Table Test ◽  
Tilt Table ◽  
Prodromal Symptoms ◽  
Close Relationship ◽  
Head Up Tilt ◽  
Diagnostic Profile ◽  
Positive Results

(1) Background: The features characterizing vasovagal syncope (VVS) are an important factor in the correct evaluation of diagnostic risk stratification in children and adolescents. The aim of the study was to determine the value of identifying the clinical characteristics in children with VVS. (2) Methods: We made a retrospective analysis of the medical records of 109 children with diagnosed VVS. We investigated the specific characteristics of syncope in children with VVS including the positive VVS (+) and negative VVS (−) result of the Head-Up Tilt Table Test (HUTT). (3) Results: We did not observe significant differences in the prodromal symptoms of VVS with HUTT response. In addition to typical prodromal symptoms, no difference in statistically reported palpitations (35/109 or 32.1%) and chest discomfort (27/109 or 27.7%) were recorded. Fear–pain–stress emotions as circumstances of syncope were more often reported by children with a negative HUTT (p = 0.02). Cramps–contractures (p = 0.016) and speech disorders (p = 0.038) were significantly higher in the group with negative HUTT. (4) Conclusions: There is a close relationship in the diagnostic profile between the negative and positive results of head-up tilt table test in children with vasovagal syncope.

scholarly journals Relationship between sarcopenia and orthostatic hypotension

2020 ◽  
Vol 49 (6) ◽  
pp. 959-965 ◽  
Author(s):  
Pinar Soysal ◽  
Suleyman Emre Kocyigit ◽  
Ozge Dokuzlar ◽  
Esra Ates Bulut ◽  
Lee Smith ◽  
...  
Keyword(s):  
Orthostatic Hypotension ◽  
Healthcare Practitioner ◽  
Tilt Table Test ◽  
Older Patient ◽  
Tilt Table ◽  
European Consensus ◽  
Close Relationship ◽  
Head Up Tilt ◽  
The Mean ◽  
The Relationship

Abstract Background The relationship between sarcopenia and orthostatic hypotension (OH) is unclear. Objectives The aim of the present study was to investigate associations between sarcopenia/sarcopenia severity and OH. Design A total of 511 patients attending a geriatric outpatient clinic were included. OH was defined as a decrease in systolic and/or diastolic blood pressure of ≥ 20 mmHg and/or ≥ 10 mmHg, respectively, when one transitions from the supine to an upright position. OH was measured by the Head-up Tilt Table test at 1, 3 and 5 min (OH1, OH3 and OH5, respectively). Sarcopenia and its severity were defined according to the revised European consensus on definition and diagnosis. Results The mean age of the sample was 75.40 ± 7.35 years, and 69.9% were female. The prevalence of probable sarcopenia, sarcopenia and severe sarcopenia was 42.2%, 6.06% and 11.1%, respectively. After adjustment for all covariates, systolic OH1, OH1 and systolic OH5 were statistically significantly different between severe sarcopenia and the robust group (odds ratio [OR]: 3.26, confidence interval [CI] 0.98–10.84; P = 0.05 for systolic OH1; OR 4.31, CI 1.31–14.15; P = 0.016 for OH1; OR 4.09, CI 1.01–16.55; P = 0.048 for systolic OH5). Only systolic OH1 was statistically different between the sarcopenia and severe sarcopenia groups (OR 2.64, CI 1.87–8.73; P = 0.012). OH1 and OH5 were statistically significant different between severe sarcopenia and probable sarcopenia groups (P < 0.05); there was no relationship between the robust group and probable sarcopenia (P > 0.05). Conclusions There is a close relationship between sarcopenia and severe sarcopenia and OH in older adults. Therefore, when a healthcare practitioner is evaluating an older patient with sarcopenia, OH should also be evaluated, and vice versa.

scholarly journals Prolongation of Electrocardiographic T Wave Parameters Recorded during the Head-Up Tilt Table Test as Independent Markers of Syncope Severity in Children

2020 ◽  
Vol 17 (18) ◽  
pp. 6441
Author(s):  
Grażyna Markiewicz-Łoskot ◽  
Ewelina Kolarczyk ◽  
Bogusław Mazurek ◽  
Marianna Łoskot ◽  
Lesław Szydłowski
Keyword(s):  
Vasovagal Syncope ◽  
The Other ◽  
Control Group ◽  
Tilt Table Test ◽  
Tilt Table ◽  
T Wave ◽  
Good Discriminator ◽  
Wave Morphology ◽  
Head Up Tilt ◽  
T Waves

The head-up tilt table test (HUTT) with the upright phase is used to help determine an imbalance of the sympathetic nervous system that is related to abnormal electrocardiographic repolarization in children with vasovagal syncope (VVS) and also in patients with the long QT syndrome (LQTS). The study attempted to evaluate T wave morphology and QT and TpTe (Tpeak–Tend) intervals recorded in ECG during the HUTT for a more accurate diagnosis of children with VVS. The group investigated 70 children with a negative HUTT result: 40 patients with VVS and 30 healthy volunteers without syncope. The RR interval as well as TpTe, and QTc intervals were measured in lead V5 of electrocardiogram (ECG) on admission to the hospital and during three phases of the HUTT. In syncopal children, which included 23 children with bifid or flat T waves and 17 patients with normal T waves in the upright phase, the QTc and TpTe were longer (p < 0.001) compared to the other test phases and longer (p < 0.001) than in the control group, respectively, with the risk of arrhythmias. Only in the control group, the TpTe was shorter (p < 0.001) in the upright phase than in the other tilt phases. The TpTe in the upright phase (>70 ms) was a good discriminator, and was better than the QTc (>427 ms). Prolongation of electrocardiographic TpTe and QT intervals, in addition to the (abnormal T wave morphology recorded during the HUTT, are helpful for identifying VVS children more predisposed to ventricular arrhythmias with a latent risk of LQTS. Further studies are required to assess the value of these repolarization parameters in clinical practice.

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