False positive head-up tilt: Hemodynamic and neurohumoral profile

Journal of the American College of Cardiology

Volumn 35, Issue 1, 2000, Pages 188-193

  Leonelli, Fabio M ^a,e   Wang, Ke ^a   Evans, Joyce M ^a   Patwardhan, Abhijit R ^a   Ziegler, Michael G ^b   Natale, Andrea ^a,c   Kim, Charles S ^d   Rajikovich, Kathleen ^a   Knapp, Charles F ^a  

^a Department of Cardiology ^*  (United States)

^b Center for Biomedical Engineering   (United States)

^c UNIVERSITY OF KENTUCKY   (United States)

^d UNIVERSITY OF SAN DIEGO   (United States)

^e UNIVERSITY OF KENTUCKY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADRENALIN; NORADRENALIN;

ADRENALIN BLOOD LEVEL; ADULT; ARTICLE; BLOOD PRESSURE; BLOOD PRESSURE MEASUREMENT; CLINICAL ARTICLE; CLINICAL PROTOCOL; CONTROLLED STUDY; DIAGNOSTIC ERROR; ECHOCARDIOGRAPHY; FEMALE; HEAD TILTING; HEART LEFT VENTRICLE CONTRACTILITY; HEART LEFT VENTRICLE ENDDIASTOLIC VOLUME; HEART LEFT VENTRICLE VOLUME; HEART RATE; HUMAN; MALE; NORADRENALIN BLOOD LEVEL; PRIORITY JOURNAL; STANDING; SYNCOPE; VASOCONSTRICTION; VENOUS RETURN;

EID: 0033958884     PISSN: 07351097     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0735-1097(99)00500-8     Document Type: Article

References (37)

1. Benditt DG, Ferguson DW, Grubb BP, et al. Tilt table testing for assessing syncope. J Am Coll Cardiol 1996;28:263-75.
2. Fitzpatrick A, Theokorakis G, Vardas P, et al. The incidence of malignant vasovagal syndrome in patients with recurrent syncope. Eur Heart J 1991;12:389-94.
3. Kenny RA, Bayliss J, Ingram A, Sutton R. Head-up tilt: a useful test for investigating unexplained syncope. Lancet 1986;1:1352-4.
4. Sra JS, Anderson AJ, Sheikh SH, et al. Unexplained syncope evaluated by electrophysiologic studies and head-up tilt testing. Ann Intern Med 1991;114:1013-9.
5. Raviele A, Gasparini G, DiPede F, Delise P, Bonso A, Piccolo E. Usefulness of head-up tilt test in evaluating patients with syncope of unknown origin and negative electrophysiologic study. Am J Cardiol 1990;65:1322-7.
6. Kapoor WN, Smith MA, Miller NL. Upright tilt testing in evaluating syncope: comprehensive literature review. Am J Med 1994;97:78-88.
7. Smith JJ. Circulatory response to the upright posture. Boca Raton, FL: CRC Press, 1990:30-3.
8. Graybiel A, McFarland RA. The use of the tilt table in aviation medicine. Aviat Med 1941;11:194-211.
9. Wagner HN. Orthostatic hypotension. Bull Johns Hopkins Hosp 1959;105:322-59.
10. De Jong-de Vos van Steenwijk CCE, Wieling W, Johannes J, Harms MP, Kuis W, Wessling KH. Incidence and hemodynamic characteristics of near-fainting in healthy 6- to 16-year old subjects. J Am Coll Cardiol 1995;25:1615-21.
11. Natale A, Aktar M, Jazayeri M, et al. Provocation of hypotension during head-up tilt testing in subjects with no history of syncope or pre-syncope. Circulation 1995;92:54-8.
12. Lewis DA, Zlotocha J, Henke L, Dhala A. Specificity of head-up tilt testing in adolescents: effect of various degrees of tilt challenge in normal control subjects. J Am Coll Cardiol 1997;30:1057-60.
13. Kapoor WN, Brant N. Evaluation of syncope by upright tilt testing with isoproterenol. Ann Intern Med 1992;116:358-63.
14. Sander-Jensen K, Secher NH, Astrup A, et al. Hypotension induced by passive head-up tilt: endocrine and circulatory mechanisms. Am J Physiol 1986;251:R742-8.
15. Bjurstedt H, Rosenhamer G, Balldin U, Katkov V. Orthostatic reactions during recovery from exhaustive exercise of short duration. Acta Physiol Scand 1983;119:25-31.
16. Rowell LB, Brengelmann GL, Blackmon JR, Murray JA. Redistribution of blood flow during sustained high skin temperature in resting man. J Appl Physiol 1970;28:415-20.
17. Lind AR, Leithead CS, McNicol GW. Cardiovascular changes during syncope induced by tilting men in the heat. J Appl Physiol 1968;25: 268-76.
18. Blomqvist CG, Stone HL. Cardiovascular adjustments to gravitational stress. In Shepherd JT, Abboud FM, Geiger SR, editors. Handbook of Physiology. The Cardiovascular System: Peripheral Circulation and Organ Blood Flow, Sec. 2, Vol. III, Pt. 2. Bethesda, MD: American Physiological Society, 1983:1025-63.
19. Kennedy B, Fisher MG. A more sensitive and specific radioenzymatic assay for catecholamines. Life Sci 1990;47:2143-53.
20. Allen SC, Taylor CL, Hall VE. A study of orthostatic insufficiency by the tiltboard method. Clin Sci Lond 1950;9:79-90.
21. Oberg B, Thorne P. Increased activity in the left ventricular receptors during hemorrhage or occlusion of caval veins in the cat: a possible cause of the vasovagal reaction. Acta Physiol Scand 1972;85:164-73.
22. Shalev Y, Gal R, Tchou PJ, et al. Echocardiographic demonstration of decreased left ventricular dimensions and vigorous myocardial contraction during syncope induced by head-up tilt. J Am Coll Cardiol 1991;18:746-51.
23. Sneddon JF, Counihan PJ, Bashir Y, Haywood GA, Ward DE, Camm AJ. Impaired immediate vasoconstrictor responses in patients with recurrent neurally mediated syncope. Am J Cardiol 1993;71: 72-6.
24. Thomson HL, Lele SS, Atherton JJ, Wright KN, Stafford W, Frenneaux MP. Abnormal forearm vascular responses during dynamic leg exercise in patients with vasovagal syncope. Circulation 1995;92: 2204-9.
25. Thomson HL, Atherton JJ, Khafagi FA, Frenneaux MP. Failure of reflex venoconstriction during exercise in patients with vasovagal syncope. Circulation 1996;93:953-9.
26. Abboud FM, Heistad DD, Mark AL, Schmid PG. Reflect control of the peripheral circulation. Prog Cardiovasc Dis 1976;17:371-403.
27. Sneddon JF, Counihan PJ, Bashir Y, Haywood GA, Ward DE, Camm AJ. Assessment of autonomic function in patients with neurally mediated syncope: augmented cardiopulmonary baroreceptor responses to graded orthostatic stress. J Am Coll Cardiol 1993;21: 1193-8.
28. Rowell LB, Seals DR. Sympathetic activity during graded central hypovolemia and hypoxemic humans. Am J Physiol 1990:H1197-1206.
29. Rowell LB, Blackmon JR. Hypotension induced by central hypovolaemia and hypoxaemia. Clin Physiol 1989;9:269-77.
30. Linden RJ. Reflexes from the heart. Prog Cardiovasc Dis 1975;18: 201-21.
31. McIntosh SJ, Lawson J, Kenny RA. Intravenous cannulation alters the specificity of head-up tilt testing for vasovagal syncope in elderly patients. Age Ageing 1994;23:317-9.
32. Imholz BPM, Wielding W, Langewouters GJ, Van Monfrants GA. Continuous finger arterial pressure utility in the cardiovascular laboratory. Clin Auton Res 1991;1:45-53.
33. Madsen P, Svendsen L, Jorgensen L, Matzen S, Jansen E, Secher N. Tolerance to head-up tilt and suspension with elevated legs. Aviat Space Environ Med 1998;69:781-4.
34. Perry JC, Garson A. The child with recurrent syncope: autonomic function testing and beta-adrenergic hypersensitivity. J Am Coll Cardiol 1991;17:1168-71.
35. Dickinson CJ. Fainting precipitated by collapse-firing of venous baroreceptors. Lancet 1993;342:970-2.
36. Kaufmann H, Oribe E, Oliver JA. Plasma endothelin during upright tilt: relevance for orthostatic hypotension? Lancet 1991;338:1542-5.
37. Shen WK, Hammill SC, Munger TM, et al. Adenosine: potential modulator for vasovagal syncope. J Am Coll Cardiol 1996;28:146-54.