PMID: 11310297Apr 20, 2001Paper

Psychological and physiological factors associated with tilt table testing for neurally mediated syncopal syndromes

Pacing and Clinical Electrophysiology : PACE
A McGradyB P Grubb

Abstract

This study investigated psychological and physiological factors in two groups of patients who had tilt table testing for autonomic dysfunction. The first group of 61 patients completed assessments of depression, anxiety, and symptom effects on lifestyle. The 25 patients identified as tilt positive were younger (30.5 years) and had higher mean depression scores (7.6) compared to the tilt-negative response group (n = 36); the latter averaged 40 years of age and had mean depression scores of 4.6. These differences were statistically significant. Women testing tilt positive were significantly more depressed than tilt-negative women (P = 0.02). More severe depressive symptoms were associated with lower blood pressure (BP) (P < 0.05). A second group of 52 patients was monitored during tilt for BP, heart rate (HR), skin temperature (TEMP), skin conductance level (SCL), and forehead muscle tension (EMG). Twenty-seven tested positive and 23 were negative. There were statistically significant group differences in systolic BP and diastolic BP (P < 0.05). There was a significant interaction between tilt status (positive or negative) and time (P = 0.03) in HR. TEMP increased 2 degrees over time in both groups (P < 0.05). The decrease in SCL...Continue Reading

Citations

May 7, 2013·Internal and Emergency Medicine·Zev WienerShamai Aron Grossman
May 7, 2011·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·Jacobus J C M RommeJohannes B Reitsma
Feb 19, 2013·General Hospital Psychiatry·Chiara RafanelliBiagio Sassone
Feb 26, 2015·Frontiers in Neuroscience·Jessica A EcclesHugo D Critchley
Sep 3, 2014·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·D ZyśkoA Fedorowski
Oct 15, 2008·Journal of Cardiovascular Medicine·Enrico FavarettoClaudio Bilato
Nov 30, 2018·Pacing and Clinical Electrophysiology : PACE·Jessica NgSatish R Raj
Jul 22, 2016·American Journal of Physiology. Regulatory, Integrative and Comparative Physiology·Hugo F Posada-QuinteroKi H Chon

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