A randomised prospective comparison of three protocols for head-up tilt testing and carotid sinus massage

International Journal of Cardiology

Volumn 105, Issue 3, 2005, Pages 241-249

  Farwell, D J ^a   Sulke, A N ^a  

^a EASTBOURNE DISTRICT GENERAL HOSPITAL   (United Kingdom)

Author keywords

Carotid sinus massage; Implantable loop recorder; Randomised study; Syncope; Tilt test

Indexed keywords

ADENOSINE; GLYCERYL TRINITRATE;

ADULT; AGED; ARTICLE; ARTIFICIAL HEART PACEMAKER; CAROTID SINUS MASSAGE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CORRELATION ANALYSIS; DIAGNOSTIC ACCURACY; FEMALE; HEART PACING; HEART RATE; HUMAN; HYPOTENSION; INTERMETHOD COMPARISON; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; RANDOMIZATION; RANDOMIZED CONTROLLED TRIAL; STANDING; SYNCOPE; SYSTOLIC BLOOD PRESSURE; TILT TABLE TEST;

AGED; AGED, 80 AND OVER; CAROTID SINUS; CLINICAL PROTOCOLS; DIAGNOSTIC TECHNIQUES, CARDIOVASCULAR; FEMALE; HUMANS; MALE; MASSAGE; MIDDLE AGED; POSTURE; PROSPECTIVE STUDIES; SENSITIVITY AND SPECIFICITY; SYNCOPE;

EID: 27744594026     PISSN: 01675273     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ijcard.2004.10.066     Document Type: Article

References (41)

1. R.A. Kenny, A. Ingram, J. Bayliss, and R. Sutton Head-up tilt: a useful test for investigating unexplained syncope Lancet 1 1986 1352 1355
2. A.L. Mark The Bezold-Jarisch reflex revisited: clinical implications of inhibitory reflexes originating in the heart J Am Coll Cardiol 1 1983 90 102
3. P. Alboni, A. Raviele, C. Vecchio, G. Andrioli, M. Brignole, and C. Menozzi Guidelines on the diagnostic assessment of patients with syncope G Ital Cardiol 25 1995 937 948
4. A.M. Fenton, S.C. Hammill, R.F. Rea, P.A. Low, and W.K. Shen Vasovagal syncope Ann Intern Med 133 2000 714 725
5. M. Brignole, P. Alboni, D. Benditt, L. Bergfeldt, J.J. Blanc, and P.E. Bloch Thomsen Guidelines on management (diagnosis and treatment) of syncope Eur Heart J 22 2001 1256 1306
6. D. Farwell, and N. Sulke How do we diagnose syncope? J Cardiovasc Electrophysiol 13 2002 S9 S13
7. F. Ammirati, F. Colivicchi, G. Minardi, L. De Lio, A. Terranova, and G. Scaffidi The management of syncope in the hospital: the OESIL Study (Osservatorio Epidemiologico della Sincope nel Lazio) G Ital Cardiol 29 1999 533 539
8. A. Natale, J. Sra, M. Akhtar, L. Kusmirek, G. Tomassoni, and F. Leonelli Use of sublingual nitroglycerin during head-up tilt-table testing in patients > 60 years of age Am J Cardiol 82 1998 1210 1213
9. S. Mittal, K.M. Stein, S.M. Markowitz, D.J. Slotwiner, S. Rohatgi, and B.B. Lerman Induction of neurally mediated syncope with adenosine Circulation 99 1999 1318 1324
10. R. Sutton, and D.M. Bloomfield Indications, methodology, and classification of results of tilt-table testing Am J Cardiol 84 1999 10Q 19Q
11. G. Gregoratos, J. Abrams, A.E. Epstein, R.A. Freedman, D.L. Hayes, and M.A. Hlatky ACC/AHA/NASPE 2002 guideline update for implantation of cardiac pacemakers and antiarrhythmia devices: summary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/NASPE Committee to Update the 1998 Pacemaker Guidelines) Circulation 106 2002 2145 2161
12. A.D. Krahn, G.J. Klein, R. Yee, T. Takle-Newhouse, and C. Norris Use of an extended monitoring strategy in patients with problematic syncope. Reveal investigators Circulation 99 1999 406 410
13. C. Menozzi, M. Brignole, R. Garcia-Civera, A. Moya, G. Botto, and L. Tercedor Mechanism of syncope in patients with heart disease and negative electrophysiologic test Circulation 105 2002 2741 2745
14. D. Collet Survival data in medical research 1994 Chapman and Hall
15. A. Raviele, M. Brignole, R. Sutton, P. Alboni, P. Giani, and C. Menozzi Effect of etilefrine in preventing syncopal recurrence in patients with vasovagal syncope: a double-blind, randomized, placebo-controlled trial. The Vasovagal Syncope International Study Circulation 99 1999 1452 1457
16. D.G. Benditt, S. Remole, S. Bailin, A. Dunnigan, A. Asso, and S. Milstein Tilt table testing for evaluation of neurally-mediated (cardioneurogenic) syncope: rationale and proposed protocols Pacing Clin Electrophysiol 14 1991 1528 1537
17. D.G. Benditt, D.W. Ferguson, B.P. Grubb, W.N. Kapoor, J. Kugler, and B.B. Lerman Tilt table testing for assessing syncope. American College of Cardiology J Am Coll Cardiol 28 1996 263 275
18. M. Brignole, C. Menozzi, A. Moya, R. Garcia-Civera, L. Mont, and M. Alvarez Mechanism of syncope in patients with bundle branch block and negative electrophysiological test Circulation 104 2001 2045 2050
19. A. Moya, M. Brignole, C. Menozzi, R. Garcia-Civera, S. Tognarini, and L. Mont Mechanism of syncope in patients with isolated syncope and in patients with tilt-positive syncope Circulation 104 2001 1261 1267
20. J.J. Blanc, J. Boschat, and P. Penther Carotid sinus hypersensitivity. Median-term development as a function of treatment and symptoms Arch Mal Coeur Vaiss 77 1984 330 336
21. S.K. Huang, M.D. Ezri, R.G. Hauser, and P. Denes Carotid sinus hypersensitivity in patients with unexplained syncope: clinical, electrophysiologic, and long-term follow-up observations Am Heart J 116 1988 989 996
22. R.A. Kenny, D. O'Shea, and S.W. Parry The Newcastle protocols for head-up tilt table testing in the diagnosis of vasovagal syncope, carotid sinus hypersensitivity, and related disorders Heart 83 2000 564 569
23. D.M. Bloomfield, R. Sheldon, B.P. Grubb, H. Calkins, and R. Sutton Putting it together: a new treatment algorithm for vasovagal syncope and related disorders Am J Cardiol 84 1999 33Q 39Q
24. R.S. Sheldon, S.R. Raj, S. Rose, and S.J. Connolly Beta-blockers in syncope: the jury is still out J Am Coll Cardiol 38 2001 2135 2136
25. S.J. Connolly, R. Sheldon, R.S. Roberts, and M. Gent The North American Vasovagal Pacemaker Study (VPS). A randomized trial of permanent cardiac pacing for the prevention of vasovagal syncope J Am Coll Cardiol 33 1999 16 20
26. R. Sutton, M. Brignole, C. Menozzi, A. Raviele, P. Alboni, and P. Giani Dual-chamber pacing in the treatment of neurally mediated tilt-positive cardioinhibitory syncope: pacemaker versus no therapy: a multicenter randomized study. The Vasovagal Syncope International Study (VASIS) Investigators Circulation 102 2000 294 299
27. S.J. Connolly, R. Sheldon, K.E. Thorpe, R.S. Roberts, K.A. Ellenbogen, and B.L. Wilkoff Pacemaker therapy for prevention of syncope in patients with recurrent severe vasovagal syncope: second Vasovagal Pacemaker Study (VPS II): a randomized trial JAMA 289 2003 2224 2229
28. M. Linzer, M. Pontinen, D.T. Gold, G.W. Divine, A. Felder, and W.B. Brooks Impairment of physical and psychosocial function in recurrent syncope J Clin Epidemiol 44 1991 1037 1043
29. M. Linzer, D.T. Gold, M. Pontinen, G.W. Divine, A. Felder, and W.B. Brooks Recurrent syncope as a chronic disease: preliminary validation of a disease-specific measure of functional impairment J Gen Intern Med 9 1994 181 186
30. M. Brignole, C. Menozzi, N. Bottoni, L. Gianfranchi, G. Lolli, and D. Oddone Mechanisms of syncope caused by transient bradycardia and the diagnostic value of electrophysiologic testing and cardiovascular reflexivity maneuvers Am J Cardiol 76 1995 273 278
31. H. Calkins, A. Kadish, J. Sousa, S. Rosenheck, and F. Morady Comparison of responses to isoproterenol and epinephrine during head-up tilt in suspected vasodepressor syncope Am J Cardiol 67 1991 207 209
32. G. Pongiglione, F.A. Fish, J.F. Strasburger, and D.W. Benson Jr. Heart rate and blood pressure response to upright tilt in young patients with unexplained syncope J Am Coll Cardiol 16 1990 165 170
33. A.P. Fitzpatrick, R.J. Lee, L.M. Epstein, M.D. Lesh, S. Eisenberg, and M.M. Sheinman Effect of patient characteristics on the yield of prolonged baseline head-up tilt testing and the additional yield of drug provocation Heart 76 1996 406 411
34. A. Del Rosso, A. Bartoletti, P. Bartoli, A. Ungar, F. Bonechi, and M. Maioli Methodology of head-up tilt testing potentiated with sublingual nitroglycerin in unexplained syncope Am J Cardiol 85 2000 1007 1011
35. A. Raviele, C. Menozzi, M. Brignole, G. Gasparini, P. Alboni, and G. Musso Value of head-up tilt testing potentiated with sublingual nitroglycerin to assess the origin of unexplained syncope Am J Cardiol 76 1995 267 272
36. G. Foglia-Manzillo, F. Giada, S. Beretta, G. Corrado, M. Santarone, and A. Raviele Reproducibility of head-up tilt testing potentiated with sublingual nitroglycerin in patients with unexplained syncope Am J Cardiol 84 1999 284 288
37. A. Bartoletti, G. Gaggioli, C. Menozzi, N. Bottoni, A. Del Rosso, and R. Mureddu Head-up tilt testing potentiated 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 1 1999 183 186
38. A. Natale, J. Sra, M. Akhtar, L. Kusmirek, G. Tomassoni, and F. Leonelli Use of sublingual nitroglycerin during head-up tilt-table testing in patients > 60 years of age Am J Cardiol 82 1998 1210 1213
39. W.K. Shen, S.C. Hammill, T.M. Munger, M.S. Stanton, D.L. Packer, and M.J. Osborn Adenosine: potential modulator for vasovagal syncope J Am Coll Cardiol 28 1996 146 154
40. P. Alboni, M. Brignole, C. Menozzi, A. Raviele, A. Del Rosso, and M. Dinelli Diagnostic value of history in patients with syncope with or without heart disease J Am Coll Cardiol 37 2001 1921 1928
41. L. Constantin, J.B. Martins, R.W. Fincham, and R.D. Dagli Bradycardia and syncope as manifestations of partial epilepsy J Am Coll Cardiol 15 1990 900 905