Diagnostic value of nitrate stimulated tilt testing without preceding passive tilt in patients with suspected vasovagal syncope and a healthy control group

PACE - Pacing and Clinical Electrophysiology

Volumn 28, Issue 1, 2005, Pages 29-32

  Aerts, Arnaud J J ^a   Dendale, Paul ^b  

^a Zuyderland Medical Centre   (Netherlands)

^b VIRGA JESSE HOSPITAL   (Belgium)

Author keywords

Shortened nitrate tilt testing

Indexed keywords

NITRATE;

ADULT; ARTICLE; BODY POSTURE; CLINICAL ARTICLE; COMPARATIVE STUDY; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; DIAGNOSTIC VALUE; FEMALE; HUMAN; MALE; METHODOLOGY; REACTION ANALYSIS; RECEIVER OPERATING CHARACTERISTIC; SENSITIVITY AND SPECIFICITY; SYNCOPE; TILT TABLE TEST;

FEMALE; HUMANS; MALE; MIDDLE AGED; NITROGLYCERIN; SENSITIVITY AND SPECIFICITY; SYNCOPE, VASOVAGAL; TILT-TABLE TEST;

EID: 12844275380     PISSN: 01478389     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1540-8159.2005.09439.x     Document Type: Article

References (19)

1. Sutton R. Vasovagal syncope: Prevalence and presentation. Eur Heart J 1999; 1(Suppl):109-113.
2. Kapoor WN, Smith MA, Miller NL. Upright tilt testing in evaluating syncope: A comprehensive literature review. Am J Med 1994; 97:78-88.
3. Benditt DG, Fahy GJ, Lurie KG, et al. Pharmacotherapy of neurally mediated syncope. Circulation 1999; 100:1242-1248.
4. Ector H, Reybrouck T, Heidbuchel H, et al. Tilt training: A new treatment for recurrent neurocardiogenic syncope and severe orthostatic intolerance. PACE 1998; 21:193-196.
5. Calkins H, Byrne M, el-Atassi R, et al. The economic burden of unrecognized vasodepressor syncope. Am J Med 1993; 95:473-479.
6. Brignole M, Disertori M, Menozzi C, et al. Evaluation of Guidelines in Syncope Study Group. Management of syncope referred urgently to general hospitals with and without syncope units. Europace 2003; 5:293-298.
7. Benditt DG, Ferguson DW, Grubb BP, et al. ACC expert consensus document. Tilt table testing for assessing syncope. J Am Coll Cardiol 1996; 28:263-275.
8. Brignole M, Alboni P, Benditt D, et al. Guidelines on management (diagnosis and treatment) of syncope. Eur Heart J 2001; 2:1256-1306.
9. Aerts AJJ. Nitrate stimulated tilt table testing: A review of the literature. PACE 2003; 26:1528-1537.
10. Leman RB, Clarke E, Gillette P. Significant complications can occur with ischemic heart disease and tilt table testing. PACE 1999; 22:675-677.
11. McIntosch SJ, Lawson J, Kenny RA. Intravenous cannulation alters the specificity of head-up tilt testing for vasovagal syncope in elderly patients. Age ageing 1994; 23:317-319.
12. Bartoletti A, Gaggioli G, Menozzi C, et al. Head-up tilt testing with oral nitroglycerin. A randomized trial of the contribution of a drug-free phase and a nitroglycerin phase in the diagnosis of neurally mediated syncope. Europace 1999; 1:183-186.
13. Klingenheben T, Winten G, Li Y, et al. Usefulness of a pretest-classification score system to predict results of tilt table testing in patients with syncope of unknown origin. (abstract) Eur Heart J 1996; 17:581.
14. Perez-Paredes M, Pico-Aracil F, Florenciano R, et al. Head-up tilt test in patients with high pretest likelihood of neurally mediated syncope: An approximation to the "real sensitivity" of this testing. PACE 1999; 22:1173-1178.
15. Mansourati J, Blance JJ. Tilt test procedure: Angle, duration, positivity criteria. In: Blanc JJ, Benditt D, Sutton R (eds.); From Neurally Mediated Syncope. Armonk NY, Futura Publishing Co., 1996, pp. 79-83.
16. Raviele A, Menozzi C, Brignole M, et al. Value of head-up tilt testing potentiated with sublingual nitroglycerin to assess the origin of unexplained syncope. Am J Cardiol 1995; 76:267-272.
17. Natale A, Sra J, Akhtar M, et al. Use of sublingual nitroglycerin during head-up tilt-table testing in patients >60 years of age. Am J Cardiol 1998; 82:1210-1213.
18. Lipsitz LA, Marks ER, Koestner J, et al. Reduced susceptibility to syncope during postural tilt in old age. Is beta-blockade protective? Arch Intern Med 1989; 149:2709-2712.
19. Dindar A, Cetin B, Ertugrul T, et al. Sublingual isosorbidedinitrate stimulated tilt test for diagnosis of vasovagal syncope in children and adolescents. Pediatr cardiol 2003; 24:270-273.