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Reproducibility of head-up tilt-table testing in pediatric patients with neurocardiogenic syncope. Pediatr Cardiol 2005 Nov-Dec;26(6):772-4

Date

09/01/2005

Pubmed ID

16132274

DOI

10.1007/s00246-005-0979-3

Scopus ID

2-s2.0-31144470811   2 Citations

Abstract

The aim of this study is to assess the reproducibility of a head-up tilt-table test protocol so it may be used to more accurately evaluate the effectiveness of a treatment protocol. Children between the ages of 10 and 18 years presenting to the cardiology department at Children's Hospital of Wisconsin with a diagnosis of neurocardiogenic syncope were eligible for the study. The patients were tilted to 70 degrees for 30 minutes or until a positive test occurred. Patients with a positive test were retilted using the same protocol. Parameters measured included heart rate, blood pressure, and the presence or absence of syncope or presyncope. Twenty-two patients were enrolled in the study. Seventeen patients had a positive test on first tilt. Fifteen had a positive tilt test on the second tilt. There were no significant differences between the two tilts with regard to mean differences of baseline heart rate, systolic blood pressure, or mean arterial pressure. There were no significant differences between the two tilts with regard to mean differences in time until symptoms, heart rate, systolic blood pressure, or mean arterial blood pressure at time of symptoms. This study shows that the head-up tilt-table test protocol used is reproducible in adolescents with the diagnosis of neurocardiogenic syncope.

Author List

Cohen GA, Lewis DA, Berger S

Author

Gary A. Cohen MD Associate Professor in the Pediatrics department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Blood Pressure
Bradycardia
Child
Female
Head-Down Tilt
Heart Rate
Humans
Hypotension, Orthostatic
Male
Reproducibility of Results
Syncope, Vasovagal
Tilt-Table Test