Early hemodynamic response to the tilt test in patients with syncope

Archives of Medical Science

Volumn 10, Issue 6, 2014, Pages 1078-1085

  Koźluk, Edward ^a   Cybulski, Gerard ^b,c   Piątkowska, Agnieszka ^a   Zastawna, Inga ^a,d   Niewiadomski, Wiktor ^a,b   Strasz, Anna ^b   Gąsiorowska, Anna ^b   Kempa, MacIej ^e   Kozłowski, Dariusz ^f   Opolski, Grzegorz ^a  

^a MEDICAL UNIVERSITY OF WARSAW   (Poland)

^b MOSSAKOWSKI MEDICAL RESEARCH CENTRE   (Poland)

^c WARSAW UNIVERSITY OF TECHNOLOGY   (Poland)

^d INSTITUTE OF CARDIOLOGY   (Poland)

^e MEDICAL UNIVERSITY OF GDANSK   (Poland)

^f POMERANIAN UNIVERSITY IN S UPSK   (Poland)

Author keywords

Head up tilt test; Hemodynamic parameters; Impedance cardiography; Vasovagal syncope

Indexed keywords

GLYCERYL TRINITRATE;

ARTERY RESISTANCE; ARTICLE; FAINTNESS; FEMALE; HEART OUTPUT; HEART RATE; HEART STROKE VOLUME; HEMODYNAMIC PARAMETERS; HUMAN; MAJOR CLINICAL STUDY; MALE; VASCULAR RESISTANCE;

EID: 84919983828     PISSN: 17341922     EISSN: 18969151     Source Type: Journal    
DOI: 10.5114/aoms.2014.47820     Document Type: Article

References (45)

1. Brignole M, Alboni P, Benditt D, et al. Task Force on Syncope, European Society of Cardiology. Guidelines on management (diagnosis and treatment) of syncope. Eur Heart J 2001; 22: 1256-306.
2. Kenny R, Ingram A, Bayliss J, Sutton R. Head-up tilt test: a useful test for investigating unexplained syncope. Lancet 1986; 2: 1352-5.
3. Kurbaan AS, Bowker TJ, Wijesekera N, et al. Age and hemodynamic responses to tilt testing in those with syncope of unknown origin. J Am Coll Cardiol 2003; 41: 1004-7.
4. Novak V, Honos G, Schondorf R. Is the heart 'empty' at syncope? Auton Nerv Syst 1996; 60: 83-92.
5. Liu JE, Hahn RT, Stein KM, et al. Left ventricular geometry and function preceding neurally mediated syncope. Circulation 2000; 101: 777-83.
6. Yamanouchi Y, Jaalouk S, Shehadeh AA, Jaeger F, Goren H, Fouad-Tarazi FM. Changes in left ventricular volume during head-up tilt in patients with vasovagal syncope: an echocardiographic study. Am Heart J 1996; 131: 73-80.
7. Leonelli FM, Wang K, Evans JM, et al. False positive head-up tilt: hemodynamic and neurohumoral profle. JACC 2000; 35: 188-93.
8. Bellard E, Fortrat JO, Schang D, Dupuis JM, Victor J, Left-heriotis G. Changes in the transthoracic impedance signal predict the outcome of a 70 degrees head-up tilt test. Clin Sci (Lond) 2003; 104: 119-26.
9. Deegan BM, O'Connor M, Donnelly T, et al. Orthostat-ic hypotension: a new classifcation system. Europace 2007; 9: 937-41.
10. Koźluk E, Kozłowski D, Szufadowicz E, et al. Results of head-up tilt test with nitroglycerin depends on used protocol. In: Europace 2001. Thomsen PE (ed.). Mon-duzzi Editore, Bologna, Italy 2001; 143-7.
11. Cybulski G. Infuence of age on the immediate cardiovascular response to orthostatic manoeuvre. Eur J Appl Physiol Occup Physiol 1996; 73: 563-72.
12. Shen WK, Low PA, Rea R F, Lohse CM, Hodge DO, Ham-mill SC. Distinct hemodynamic profles in patients with vasovagal syncope: a heterogeneous population. J Am Coll Cardiol 2000; 35: 1470-7.
13. Bellard E, Fortrat JO, Schang D, Dupuis JM, Victor J, Lefthériotis G. Late hemodynamic changes during a negative passive head-up tilt predict the symptomatic outcome to a nitroglycerin sensitized tilt. Pacing Clin Electrophysiol 2005; 28: 89-96.
14. Mitro P, Hijová E. Myocardial contractility and cardiac flling measured by impedance cardiography in patients with nitroglycerine-induced vasovagal syncope. Pacing Clin Electrophysiol 2006; 29: 1-8.
15. Nowak L, Nowak FG, Janko S, Dorwarth U, Hofmann E, Botzenhardt F. Investigation of various types of neuro-cardiogenic response to head-up tilting by extended he-modynamic and neurohumoral monitoring. Pacing Clin Electrophysiol 2007; 30: 623-30.
16. Zelazowska M, Lelonek M, Fendler W, Pietrucha T. Arg389Gly β1-adrenergic receptor polymorphism and susceptibility to syncope during tilt test. Arch Med Sci 2014; 10: 240-5.
17. Cybulski G, Michalak E, Kozluk E, Piatkowska A, Niewi-adomski W. Stroke volume and systolic time intervals: beat-to-beat comparison between echocardiography and ambulatory impedance cardiography in supine and tilted positions. Med Biol Eng Comput 2004; 42: 707-11.
18. Cybulski G, Ksiązkiewicz A, Łukasik W, Niewiadomski W, Pałko T. Ambulatory monitoring device for central he-modynamic and ECG signal recording on PCMCI fash memory cards. Computers in Cardiology, IEEE, New York, NY, USA 1995; 505-7.
19. Siebers J, Gutknecht P, Molisz A, Trzeciak B, Nyka W. He-modynamic fndings in patients with brain stroke. Arch Med Sci 2012; 8: 371-4.
20. Kubicek WG, Karnegis JN, Patterson R P, Witsoe DA, Mattson RH. Development and evaluation of an impedance cardiac output system. Aerospace Medicine 1966; 37: 1208-12.
21. Ebert TJ, Eckberg DL, Vetrvec GM, Cowley MJ. Impedance cardiograms reliably estimate beat-by-beat changes of left ventricular stroke volume in humans. Cardiovasc Res 1984; 18: 354-60.
22. Muzzi M, Jeutter DC, Smith JJ. Computer-automated impedance-derived cardiac indexes. IEEE Trans Biomed Engin 1986; 33: 42-7.
23. Judy W V, Langley FM, McCowen KD, Stinned DM, Backer LE, Jonson PC. Comparative evaluation of thoracic impedance and isotope dilution methods for measuring cardiac output. Aerospace Medicine 1969; 40: 532-6.
24. Scherhag A, Kaden JJ, Kentschke E, Sueselbeck T, Borggrefe M. Comparison of impedance cardiography and thermodilution-derived measurements of stroke volume and cardiac output at rest and during exercise testing. Cardiovasc Drugs Ther 2005; 19: 141-7.
25. Zaidi A, Benitez D, Gaydecki PA, Vohra A, Fitzpatrick AP. Haemodynamic efects of increasing angle of head up tilt. Heart 2000; 83: 181-4.
26. Kozlowski D, Byrdziak P, Krupa W, et al. Left ventricular systolic volume in vasovagal syncope patients. Folia Morphol (Warsz) 2003; 62: 175-8.
27. Hosaka H, Takase B, Kitamura K, et al. Assessment of left ventricular volume by an ambulatory radionuclide monitoring system during head-up tilt in patients with unexplained syncope: relation to autonomic activity assessed by heart rate variability. J Nucl Cardiol 2001; 8: 660-8.
28. Wang JJ, Chan WL, Kong CW, Lee WL, Wang SP, Chang MS. Hemodynamic mechanism of vasovagal syncope. Jpn Heart J 1996; 37: 361-71.
29. Nieminen T, Koobi T, Turjanmaa V. Can stroke volume and cardiac output be determined reliably in a tilt-table test using the pulse contour method? Clin Physiol 2000; 20: 488-95.
30. Kapoor W, Smith M, Miller N. Upright tilt testing in evaluating syncope: a comprehensive literature review. Am J Med 1994; 97: 78-88.
31. Krahn AD, Klein GJ, Fitzpatrick A, et al. Predicting the outcome of patients with unexplained syncope undergoing prolonged monitoring. Pacing Clin Electrophysiol 2002; 25: 37-41.
32. Turk U, Alioglu E, Kirilmaz B, et al. Prediction of head-up tilt test result: is it possible? Pacing Clin Electrophysiol 2010; 33: 153-8.
33. Schroeder C, Tank J, Heusser K, et al. Orthostatic tolerance is difcult to predict in recurrent syncope patients. Clin Auton Res 2011; 21: 37-45.
34. Schang D, Feuilloy M, Plantier G, Fortrat JO, Nicolas P. Early prediction of unexplained syncope by support vector machines. Physiol Meas 2007; 28: 185-97.
35. Mereu R, De Barbieri G, Perrone T, Mugellini A, Di Toro A, Bernardi L Heart rate/blood pressure ratio as predictor of neuromediated syncope. Int J Cardiol 2013; 167: 1170-5.
36. Meyer C, Morren G, Muehlstef J, et al. Predicting neural-ly mediated syncope based on pulse arrival time: algorithm development and preliminary results. J Cardiovasc Electrophysiol 2011; 22: 1042-8.
37. Cybulski G, Mis̈kiewicz Z, Szulc J, Torbicki A, Pasierski T. A comparison between the automatized impedance cardiography and pulsed-wave Doppler echocardiography methods for measurements of stroke volume (SV) and systolic time intervals (STI). J Physiol Pharmacol 1993; 44: 251-8.
38. Boer P, Roos JC, Geyskes GG, Mees EJD. Measurement of cardiac output by impedance cardiography under various conditions. Am J Physiol 1979; 237: H491-2.
39. Cybulski G, Strasz A, Niewiadomski W, Gąsiorowska A. Impedance cardiography: recent advancements. Cardiol J 2012; 19: 550-6.
40. Piechota M, Irzmański R, Banach M, Kowalski J, Pawlic-ki L Impedance cardiography in haemodynamic monitoring of septic patients: a prospective study. Arch Med Sci 2007; 3: 145-51.
41. Siebert J, Gutknecht P, Molisz A, Trzeciak B, Nyka W. Hemodynamic fndings in patients with brain stroke. Arch Med Sci 2012; 8: 371-4.
42. Cybulski G. Ambulatory impedance cardiography. The systems and their applications. Series: Lecture Notes in Electrical Engineering. Springer-Verlag Berlin and Heidelberg GmbH & Co. Vol. 76, 1st ed., 2011; 150.
43. Tahvanainen A, Koskela J, Leskinen M, et al. Reduced systemic vascular resistance in healthy volunteers with presyncopal symptoms during a nitrate-stimulated tilt-table test. Br J Clin Pharmacol 2011; 71: 41-51.
44. DeMarzo AP. Using impedance cardiography with postural change to stratify patients with hypertension. Ther Adv Cardiovasc Dis 2011; 5: 139-48.
45. Demarzo AP. Using impedance cardiography to detect asymptomatic cardiovascular disease in prehyperten-sive adults with risk factors. High Blood Press Cardio-vasc Prev 2013; 20: 61-7.