A novel method for the diagnosis of neurocardiogenic syncope: Heart rate recovery index

Cardiology

Volumn 114, Issue 1, 2009, Pages 50-55

  Kocabaş, Uǧur ^a   Kaya, Ergün Bariş ^a   Aytemir, Kudret ^a   Yorgun, Hikmet ^a   Kepez, Alper ^a   Aksoy, Hakan ^a   Ateş, Ahmet Hakan ^a   Tulumen, Erol ^a   Deveci, Onur Sinan ^a   Kabakci, Giray ^a   Tokgözoǧlu, Lale ^a   Nazli, Nasih ^a   Özkutlu, Hilmi ^a   Oto, Ali ^a  

^a HACETTEPE UNIVERSITY   (Turkey)

Author keywords

Heart rate recovery index; Neurocardiogenic syncope; Tilt table test

Indexed keywords

ADULT; ARTICLE; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; EXERCISE TEST; FEMALE; HEART RATE; HUMAN; MAJOR CLINICAL STUDY; MALE; PARASYMPATHETIC TONE; PRIORITY JOURNAL; SYNCOPE; TILT TABLE TEST;

ADULT; ANALYSIS OF VARIANCE; CASE-CONTROL STUDIES; EXERCISE TEST; FEMALE; HEART RATE; HUMANS; MALE; MIDDLE AGED; ROC CURVE; SYNCOPE, VASOVAGAL; TILT-TABLE TEST; YOUNG ADULT;

EID: 64149086101     PISSN: 00086312     EISSN: None     Source Type: Journal    
DOI: 10.1159/000212079     Document Type: Article

References (23)

1. Savage DD, Corwin L, McGee DL, Kannel WB, Wolf PA: Epidemiologic features of isolated syncope: The Framingham study. Stroke 1985;16:626-629.
2. Fitzpatrick A, Sutton R: Tilting towards a diagnosis in recurrent unexplained syncope. Lancet 1989;1:658-660.
3. Benditt DG, Ferguson DW, Grubb BP, Kapoor WN, Kugler J, Lerman BB, Maloney JD, Raviele A, Ross B, Sutton R, Wolk MJ, Wood DL: Tilt table testing for assessing syncope. American college of cardiology. J Am Coll Cardiol 1996;28:263-275.
4. Kenny RA, Ingram A, Bayliss J, Sutton R: Head-up tilt: a useful test for investigating unexplained syncope. Lancet 1986;1:1352-1355.
5. 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.
6. Benditt DG, Remole S, Bailin S, Dunnigan A, Asso A, Milstein S: Tilt table testing for evaluation of neurally-mediated (cardioneuro-genic) syncope: rationale and proposed protocols. Pacing Clin Electrophysiol 1991;14:1528-1537.
7. Pierpont GL, Stolpman DR, Gornick CC: Heart rate recovery post-exercise as an index of parasympathetic activity. J Auton Nerv Syst 2000;80:169-174.
8. Brignole M, Alboni P, Benditt DG, Bergfeldt L, Blanc JJ, Bloch Thomsen PE, van Dijk JG, Fitzpatrick A, Hohnloser S, Janousek J, Kapoor W, Kenny RA, Kulakowski P, Masotti G, Moya A, Raviele A, Sutton R, Theodorak is G, Ungar A, Wieling W: Guidelines on management (diagnosis and treatment) of syncope: update 2004. Europace 2004;6:467-537.
9. Julu PO, Cooper VL, Hansen S, Hainsworth R: Cardiovascular regulation in the period preceding vasovagal syncope in conscious humans. J Physiol 2003;549:299-311.
10. Fitzpatrick AP, 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.
11. Stein KM, Slotwiner DJ, Mittal S, Scheiner M, Markowitz SM, Lerman BB: Formal analysis of the optimal duration of tilt testing for the diagnosis of neurally mediated syncope. Am Heart J 2001;141:282-288.
12. Baron-Esquivias G, Pedrote A, Cayuela A, Valle JI, Fernandez JM, Estepa MJ, Martinez-Morentin E, Navarro M, Burgos J: Age and gender differences in basal and isoprenaline protocols for head-up tilt table testing. Europace 2001;3:136-140.
13. Almquist A, Goldenberg IF, Milstein S, Chen MY, Chen XC, Hansen R, Gornick CC, 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.
14. Kapoor WN: Evaluation and management of the patient with syncope. JAMA 1992;268: 2553-2560.
15. Morillo CA, Klein GJ, Zandri S, Yee R: Diagnostic accuracy of a low-dose isoproterenol head-up tilt protocol. Am Heart J 1995;129: 901-906.
16. Carlioz R, Graux P, Haye J, Letourneau T, Guyomar Y, Hubert E, Bodart JC, Lequeuche B, Burlaton JP: Prospective evaluation of high-dose or low-dose isoproterenol upright tilt protocol for unexplained syncope in young adults. Am Heart J 1997;133:346-352.
17. Raviele A, Menozzi C, Brignole M, Gasparini 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 1995;76:267-272.
18. Bartoletti A, Alboni P, Ammirati F, Brignole M, Del Rosso A, Foglia Manzillo G, Menozzi C, Raviele A, Sutton R: 'The Italian protocol': a simplified head-up tilt testing potentiated with oral nitroglycerin to assess patients with unexplained syncope. Europace 2000;2:339-342.
19. Sheldon R, Splawinski J, Killam S: Reproducibility of isoproterenol tilt-table tests in patients with syncope. Am J Cardiol 1992;69: 1300-1305.
20. Grubb BP, Wolfe D, Temesy-Armos P, Hahn H, Elliott L: Reproducibility of head upright tilt table test results in patients w it h syncope. Pacing Clin Electrophysiol 1992;15:1477-1481.
21. de Buitleir M, Grogan EW Jr, Picone MF, Casteen JA: Immediate reproducibility of the tilt-table test in adults with unexplained syncope. A m J Cardiol 1993;71:304-307.
22. Brooks R, Ruskin JN, Powell AC, Newell J, Garan H, McGovern BA: Prospective evaluation of day-to-day reproducibility of upright tilt-table testing in unexplained syncope. Am J Cardiol 1993;71:1289-1292.
23. Yawn BP, Ammar KA, Thomas R, Wollan PC: Test-retest reproducibility of heart rate recovery after treadmill exercise. Ann Fam Med 2003;1:236-241.