Prediction of head-up tilt test result by analysis of early heart rate variations

Circulation

Volumn 96, Issue 2, 1997, Pages 581-584

  Mallat, Ziad ^a   Vicaut, Eric ^b   Sangaré, Adama ^a   Verschueren, Jordanka ^a   Fontaine, Guy ^a   Frank, Robert ^a  

^a HÔPITAL CHARLES FOIX   (France)

^b HÔPITAL FERNAND WIDAL   (France)

Author keywords

Heart rate; Isoproterenol; Syncope; Tests

Indexed keywords

ISOPRENALINE;

ADULT; AGED; ARTICLE; CLINICAL PROTOCOL; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; FEMALE; HEAD TILTING; HEART RATE VARIABILITY; HUMAN; INTRAVENOUS DRUG ADMINISTRATION; LABORATORY DIAGNOSIS; MAJOR CLINICAL STUDY; MALE; PREDICTION; PRIORITY JOURNAL; STANDING; SYNCOPE;

EID: 0030797062     PISSN: 00097322     EISSN: None     Source Type: Journal    
DOI: 10.1161/01.CIR.96.2.581     Document Type: Article

References (27)

1. Kapoor WN, Karpf M, Wieand S, Peterson JR, Levey GS. A prospective evaluation and follow-up of patients with syncope. N Engl J Med. 1983;309:197-204.
2. Kenny RA, Ingram A, Bayliss J, Sutton R. Head-up tilt: a useful test for investigating unexplained syncope. Lancet. 1986;1:1352-1354.
3. Abi-Samra F, Maloney JD, Fouad-Tarazi FM, Castle LW. The usefulness of head-up tilt testing and hemodynamic investigations in the workup of syncope of unknown origin. Pacing Clin Electrophysiol. 1988;11:1202-1214.
4. Almquist A, Goldenberg IF, Milstein S, Chen MY, Chen X, Hansen R, Gornick C, Benditt DG. Provocation of bradycardia and hypotension by isoproterenol and upright posture in patients with unexplained syncope. N Engl J Med. 1989;320:346-351.
5. Waxman MB, Yao L, Cameron DA, Wald RW, Roseman J. Isoproterenol induction of vasodepressor-type reaction in vasodepressor-prone persons. Am J Cardiol. 1989;63:58-65.
6. Fitzpatrick AP, Sutton R. Tilting towards a diagnosis in recurrent unexplained syncope. Lancet. 1989;1:658-660.
7. Imholz BP, Settels JJ, Van der Meiracker AH, Wesseling KH, Wieling W. Noninvasive continuous finger blood pressure measurement during orthostatic stress compared to intra-arterial pressure. Cardiovasc Res. 1990;24:214-221.
8. Oberg B, Thorén P. Increased activity in left ventricular receptors during haemorrhage or occlusion of the caval veins in the cat. Acta Physiol Scand. 1972;85:164-172.
9. Shalev Y, Gal R, Tchou PJ, Anderson AJ, Avitall B, Akhtar M, Jazayeri MR. Echocardiographic demonstration of decreased left ventricular dimensions and vigorous myocardial contraction during syncope induced by head-up tilt. JAm Coll Cardiol. 1991;18:746-751.
10. Thorén P. Role of cardiac vagal C fibers in cardiovascular control. Rev Physiol Biochem Pharmacol. 1979;86:1-94.
11. Gupta BN, Thames MD. Behavior of left ventricular mechanoreceptors with myelinated and nonmyelinated afferent vagal fibers in cats. Circ Res. 1983;52:291-301.
12. Abboud FM. Ventricular syncope: is the heart a sensory organ? N Engl J Med. 1989;320:390-392.
13. Waxman MB, Cameron DA, Wald RW. Role of ventricular vagal afferents in the vasovagal reaction. J Am Coll Cardiol. 1993;21: 1138-1141.
14. Wallin BG, Sundolf G. Sympathetic outflow to muscles during vasovagal syncope. J Auton Nerv Syst. 1982;6:287-291.
15. Victor RG, Thorén P, Morgan DA, Mark AL. Differential control of adrenal and renal sympathetic nerve activity during hemorrhagic hypotension in rats. Circ Res. 1989;64:686-694.
16. Mark AL. The Bezold-Jarisch reflex revisited: clinical implications of inhibitory reflexes originating in the heart. J Am Coll Cardiol. 1983;1:90-102.
17. Nelson SD, Stanley M, Love CJ, Coyne KS, Schaal SF. The autonomic and hemodynamic effects of oral theophylline in patients with vasodepressor syncope. Arch Intern Med. 1991;151:2425-2429.
18. Morillo CA, Klein GJ, Jones DL, Yee R. Time and frequency domain analyses of heart rate variability during orthostatic stress in patients with neurally mediated syncope. Am J Cardiol. 1994;74: 1258-1262.
19. Lippman N, Stein KM, Lerman BB. Failure to decrease parasympathetic tone during upright tilt predicts a positive tilt-table test. Am J Cardiol. 1995;75:591-595.
20. Abboud FM. Neurocardiogenic syncope. N Engl J Med. 1993;328: 1117-1120.
21. Fitzpatrick A, Theodorakis G, Vardas P, Sutton R. Methodology of head-up tilt testing in patients with unexplained syncope. J Am Coll Cardiol. 1991;17:125-130.
22. Raviele A, Alboni P. Sincope: un aggiornamento sulla fisiopatologia, diagnosi e terapia. G Ital Cardiol. 1994;24:1227-1260.
23. st Century. Dordrecht, Netherlands: Kluwer Academic Publishers; 1994:15-22.
24. Natale A, Akhtar M, Jazayeri M, Dhala A, Blanck Z, Deshpande S, Krebs A, Sra JS. Provocation of hypotension during head-up tilt testing in subjects with no history of syncope or presyncope. Circulation. 1995;92:54-58.
25. Lipsitz LA, Mietus J, Moody GB, Goldberger AL. Spectral characteristics of heart rate variability before and during postural tilt: relations to aging and risk of syncope. Circulation. 1990;81: 1803-1810.
26. Theodorakis GN, Kremastinos DT, Avrambos GT, Stefanakis GS, Karavolis GK, Toutouzas PK. Heart rate variability in patients with vasovagal syndrome. Pacing Clin Electrophysiol. 1992;15:2221-2225.
27. Pruvot E, Vesin JM, Schlaepfer J, Fromer M, Kappenberger L. Autonomic imbalance assessed by heart rate variability analysis in vasovagal syncope. Pacing Clin Electrophysiol. 1994;17:2201-2206.