PMID: 8946454Nov 1, 1996Paper

Upright tilt test: correlation between results and patient clinical features

Pacing and Clinical Electrophysiology : PACE
A F FolinoA Nava

Abstract

The aim of our study was to analyze how the clinical history and the main clinical characteristics of patients suffering from loss of consciousness may influence the results of the upright tilt test. A series of 745 patients (333 males, 412 females; mean age 44 +/- 18 years) with recurrent episodes of syncope or presyncope underwent complete clinical and noninvasive laboratory examination, including vagal maneuvers and upright tilt test (60 degrees for 45 min). Cardiological and neurological findings were normal in every case. Upright tilt test was positive in 462 patients (62%). Patients with presyncope showed a lower positivity compared to patients with syncope (70.2% vs 42.9%, P < 0.001). Younger patients (< 25 years) displayed highest upright tilt test positivity (68.5%), while familial occurrence of syncope or presyncope, results of vagal maneuvers, and different gender did not correlate with the results of the test. The time interval between the last syncopal episode and the day of upright tilt test negatively influenced the proportion of positive tests (> 30 days = 45.1% vs < 30 days = 77.2%; P < 0.001). Patients with more than three syncopal episodes in the 2 months preceding the test showed a higher upright tilt test p...Continue Reading

References

May 1, 1992·Pacing and Clinical Electrophysiology : PACE·B P GrubbL Elliott
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Citations

Aug 8, 2002·Journal of the American Geriatrics Society·Michael Maddens
Dec 21, 2000·Postgraduate Medical Journal·W Arthur, G C Kaye
Sep 12, 2006·Journal of Electrocardiology·Zahra EmkanjooMohammad Ali Sadr-Ameli
Apr 25, 2003·Pacing and Clinical Electrophysiology : PACE·Ju Hyeon OhWon Ro Lee
Feb 11, 2021·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·Giulia RivasiArtur Fedorowski

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