Usefulness of tilt test-induced patterns of heart rate and blood pressure using a two-stage protocol with glyceryl trinitrate provocation in patients with syncope of unknown origin

American Journal of Cardiology

Volumn 84, Issue 6, 1999, Pages 665-670

  Kurbaan, Arvinder S ^a   Franzén, Ann Christine ^b   Bowker, Timothy J ^b   Williams, Timothy R ^b   Kaddoura, Samer ^b   Petersen, Mark E V ^b   Sutton, Richard ^b  

^a ST MARY S HOSPITAL   (United Kingdom)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

GLYCERYL TRINITRATE;

ADULT; AGED; ARTERIAL PRESSURE; ARTICLE; CHRONOTROPISM; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DISEASE CLASSIFICATION; FEMALE; HEART RATE; HUMAN; MAJOR CLINICAL STUDY; PRIORITY JOURNAL; PROVOCATION TEST; SUBLINGUAL DRUG ADMINISTRATION; SYNCOPE; TILT TABLE TEST;

ADMINISTRATION, SUBLINGUAL; ADOLESCENT; ADULT; AGE FACTORS; AGED; AGED, 80 AND OVER; BLOOD PRESSURE; CHILD; DIAGNOSIS, DIFFERENTIAL; FEMALE; HEART RATE; HUMANS; MALE; MIDDLE AGED; NITROGLYCERIN; SEX FACTORS; SYNCOPE, VASOVAGAL; TILT-TABLE TEST; VASODILATOR AGENTS;

EID: 0033567910     PISSN: 00029149     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0002-9149(99)00413-0     Document Type: Article

References (23)

1. Kenny R.A., Ingram A., Bayliss J., Sutton R. Head-up tilt a useful test for investigation unexplained syncope . Lancet. 1:1986;1352-1355.
2. Raviele A., Gasparini G., Di Pede F., Delise P., Bonso A., Piccolo E. Usefulness of head-up tilt test in evaluating patients with syncope of unknown origin and negative electrophysiological study. Am J Cardiol. 65:1990;1322-1327.
3. Benditt D.G., Ferguson D.W., Grubb B.P., Kapoor W.N., Kugler J., Lerman B.B., Maloney J.D., Raviele A., Ross B., Sutton R., Wolk M.J., Wood D.L. Tilt table testing for assessing syncope. J Am Coll Cardiol. 28:1996;263-275.
4. Kapoor W.N., Smith M.A., Miller N.L. Upright tilt testing in evaluating syncope a comprehensive literature review . Am J Med. 97:1994;78-88.
5. Benditt D.G., Remole S., Bailin S., Dunnigan A., Asso A., Milstein S. Tilt table testing for evaluation of neurally mediated (neurocardiogenic) syncope rationale and proposed protocols . PACE. 14:1991;1528-1537.
6. Almquist A., Goldberg I.F., Milstein S., Chen M.Y., Chen X., Hansen R., Gornick G.C., Benditt D.G. Provocation of bradycardia and hypotension by isoproterenol and upright posture in patients with unexplained syncope. N Engl J Med. 320:1989;346-351.
7. Sheldon R. Evaluation of a single-stage isoproterenol-tilt table test in patients with syncope. J Am Coll Cardiol. 22:1993;114-118.
8. Morillo C.A., Klein G.J., Zandri S., Yea R. Diagnostic accuracy of low dose isoproterenol head up tilt protocol. Am Heart J. 129:1995;901-908.
9. Raviele A., Menozzi C., Brignole M., Gaspirini G., Alboni P., Musso G., Lolli G., Oddone D., Dinelli M., Mureddu R. Value of head-up tilt testing potentiated with sublingual nitroglycerin to assess the origin of unexplained syncope. Am J Cardiol. 76:1995;267-272.
10. Sutton R., Petersen M., Brignole M., Raviele A., Menozzi C., Giani P. Proposed classification for vasovagal syncope. Eur J Cardiac Pacing Electrophysiol. 3:1992;180-183.
11. Klingenheben T., Kalusche D., Li Y.G., Schopperl M., Hohnloser S.H. Changes in plasma epinephrine concentration and in heart rate during head up tilt testing in patients with neurocardiogenic syncope-correlations with successful therapy with beta-receptor antagonists. J Cardiovasc Electrophysiol. 7:1996;802-808.
12. Murray R.H., Bowers J.A., Goltra E.R. Comparison of footboard and saddle supports for orthostatic tests on a tilt table. J Appl Physiol. 21:1966;1409-1411.
13. Penàz J. Photoelectric measurement of blood pressure, volume and flow in the finger. In: Digest of 10th International Conference on Medical and Biological Engineering, Dresden 1973;104:2-7.
14. Boehmer R.D. Continuous real time, non-invasive monitor of blood pressure Penàz methodology applied to the finger . J Clin Monit. 3:1987;282-287.
15. Petersen M.E.V., Williams T.R., Sutton R. A comparison of non-invasive continuous finger blood pressure measurement (Finapress) with intra-arterial pressure during prolonged head up tilt. Eur Heart J. 16:1995;1647-1654.
16. Fitzpatrick A.P., Theodorakis G., Vardas P., Sutton R. Methodology of head-up tilt test in patients with syncope. J Am Coll Cardiol. 17:1991;125-130.
17. Armitage P., Berry G. Statistical Methods in Medical Research. 3rd ed. 1994;Blackwell Scientific Publications, Oxford, UK.
18. Clarke M., Sutton R., Ward D., Camm A.J., Rickards A.F., Ingram A., Perrins E.J., Charles R., Jones S., Cobbe S. Recommendations for pacemaker prescription for symptomatic bradycardia. Br Heart J. 66:1991;185-191.
19. Chen X.C., Chen M.Y., Remoie S., Kobayashi Y., Dunnigan A., Milstein S., Benditt D.G. Reproducibility of head-up tilt table testing for eliciting susceptibility to neurally mediated syncope in patients without structural heart disease. Am J Cardiol. 69:1992;755-760.
20. Kapoor W.N., Brant N. Evaluation of syncope by upright tilt testing with isoproterenol a non-specific test . Ann Int Med. 116:1992;358-363.
21. Sheldon R. Effect of ageing on responses to isoproterenol tilt-table testing patient with syncope. Am J Cardiol. 74:1994;459-463.
22. Petersen M., Chamberlain-Webber R., Fitzpatrick A.P., Ingram A., Williams T., Sutton R. Permanent pacing for cardioinhibitory malignant vasovagal syndrome. Br Heart J. 71:1994;274-281.
23. Leor J., Rotstein Z., Vered Z., Kaplinsky E., Truman S., Eldar M. Absence of tachycardia during tilt predicts failure of B-blocker therapy in patients with neurocardiogenic syncope. Am Heart J. 127:1994;1539-1543.