Head-up tilt test: A highly sensitive, specific test for children with unexplained syncope

Pediatric Cardiology

Volumn 17, Issue 2, 1996, Pages 86-90

  Alehan, D ^a   Celiker A ^a   Ozme S ^a  

^a HACETTEPE UNIVERSITY   (Turkey)

Author keywords

Children; Head up tilt test; Sensitivity; Specificity; Syncope

Indexed keywords

ATENOLOL; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; ISOPRENALINE;

ADOLESCENT; ADULT; ARTICLE; BRADYCARDIA; CLINICAL ARTICLE; CLINICAL PROTOCOL; CLINICAL TRIAL; DIAGNOSTIC ACCURACY; DOSE RESPONSE; FEMALE; HEAD TILTING; HUMAN; HYPOTENSION; INTRAVENOUS DRUG ADMINISTRATION; MALE; ORAL DRUG ADMINISTRATION; SCHOOL CHILD; SYNCOPE;

EID: 0029995332     PISSN: 01720643     EISSN: None     Source Type: Journal    
DOI: 10.1007/BF02505089     Document Type: Article

References (26)

1. Abboud FM (1989) Ventricular syncope: is the heart a sensory organ? N Engl J Med 320:390-392 [editorial]
2. Abi-Samra F, Maloney JD, Fouad FM, Castle LW (1988) The usefulness of head-up tilt testing and haemodynamic investigation in the workup of syncope of unknown origin. PACE 11:1202-1214
3. Almquist A, Goldenberg IF, Milstein S, et al (1989) Provocation of bradycardia and hypotension by isoproterenol and upright posture in patients with unexplained syncope N Engl J Med 320:346-351
4. Benditt DG, Remole S, Bailin S, et al (1991) Tilt table testing for evaluation of neurally-mediated (cardioneurogenic) syncope: rationale and proposed protocols. PACE 14:1528-1537
5. Chen MY, Goldenberg IF, Milstein S, et al (1989) Cardiac electrophysiologic and hemodynamic correlates of neurally mediated syncope. Am J Cardiol 63:66-72
6. Fish FA, Strasburger JF, Benson DW Jr (1992) Reproducibility of a symptomatic response to upright tilt in young patients with unexplained syncope. Am J Cardiol 70:605-609
7. Fitzpatrick A, Sutton R (1989) Tilting towards a diagnosis in recurrent unexplained syncope. Lancet 7:658-660
8. Fouad FM, Sitthisook S, Vanerio G, et al (1993) Sensitivity and specificity of the tilt table test in young patients with unexplained syncope. PACE 76:394-400
9. Grubb BP, Armos PT, Hahn H, Elliot I (1991) Utility of upright tilt-table testing in the evaluation and management of syncope of unknown origin. Am J Med 90:6-10
10. Kapoor WN (1991) Diagnostic evaluation of syncope. Am J Cardiol 90:91-106
11. Kenny RA, Ingram A, Bayliss J, Sutton R (1986) Head-up tilt: a useful test for investigating unexplained syncope Lancet 1:1352-1355
12. Lerman-Sagie T, Rechavia E, Strasberg B, et al (1991) Head-up tilt for the evaluation of syncope of unknown origin in children J Pediatr 118:676-679
13. Manolis AS, Linzer M, Salem D, Estas NAM (1990) Syncope: current diagnostic evaluation and management. Ann Intern Med 112:850-863
14. Mark AL (1983) The Bezold-Jarisch reflex revisited: clinical implications of inhibitory reflexes originating in the heart. J Am Coll Cardiol 1:90-102
15. Milstein S, Buetikofer J, Dunnigon A, et al (1990) Usefulness of disopyramide for prevention of upright tilt-induced hypotension-bradycardia Am J Cardiol 65:1339-1344
16. Müller G, Deal BJ, Strasburger JF, Benson DW Jr (1993) Usefulness of metoprolol for unexplained syncope and positive response to tilt testing in young persons. Am J Cordiol 71:592-595
17. Özme S, Alehan D, Yalaz K, et al (1993) Causes of syncope in children: a prospective study. Int J Cardiol 40:111-114
18. Pongiglione G, Fish FA, Strasburger JF, Benson DW Jr (1990) Heart rate and blood pressure response to upright tilt in young patients with unexplained syncope. J Am Coll Cardiol 16:165-170
19. Raviele A, Gasparini G, Pede FD, et al (1990) Usefulness of head-up tilt in evaluating patients with syncope of unknown origin and negative electrophysiologic study. Am J Cardiol 65:1322-1327
20. Rea RF (1989) Neurally mediated hypotension and bradycardia: which nerves? how mediated? J Am Coll Cardiol 14:1633-1634 [editorial]
21. Ross BA, Hughes S, Anderson E, Gillette PC (1991) Abnormal responses to orthostatic testing in children and adolescents with recurrent unexplained syncope. Am Heart J 122:748-754
22. Scherrer U, Vissling S, Morgan BJ, Hanson P, Victor RG (1990) Vasovagal syncope after infusion of a vasodilator in a heart transplant recipient. N Engl J Med 322:602-604
23. Shalev Y, Gal R, Tchou PJ, et al (1991) Echocardiographic demonstration of decreased left ventricular dimensions and vigorous myocardial contraction during syncope induced by head-up tilt. J Am Coll Cardiol 18:746-751
24. Sutton R, Vardas P, Ingram A, et al (1988) Value of tilt testing in unexplained syncope. PACE 11:508-511
25. Thilenius OG, Quinones JA, Husayni TS, Novak J (1991) Tilt test for diagnosis of unexplained syncope in pediatric patients. Pediatrics 87:334-338
26. Waxmann MB, Yao L, Cameron DA, Wald RW, Rosemann J (1989) Isoproterenol induction of vasodepressor-type reaction in vasodepressor-prone persons. Am J Cardiol 63:58-65