Tilt testing remains a valuable asset
File(s)
Accepted version
Author(s)
Type
Journal Article
Abstract
Head-up tilt test (TT) has been used for >50 years to study heart rate/blood pressure adaptation to positional changes, to model responses to haemorrhage, to assess orthostatic hypotension, and to evaluate haemodynamic and neuroendocrine responses in congestive heart failure, autonomic dysfunction, and hypertension. During these studies, some subjects experienced syncope due to vasovagal reflex. As a result, tilt testing was incorporated into clinical assessment of syncope when the origin was unknown. Subsequently, clinical experience supports the diagnostic value of TT. This is highlighted in evidence-based professional practice guidelines, which provide advice for TT methodology and interpretation, while concurrently identifying its limitations. Thus, TT remains a valuable clinical asset, one that has added importantly to the appreciation of pathophysiology of syncope/collapse and, thereby, has improved care of syncopal patients.
Date Issued
2021-05-01
Date Acceptance
2021-02-05
Citation
European Heart Journal, 2021, 42 (17), pp.1654-1660
ISSN
0195-668X
Publisher
European Society of Cardiology
Start Page
1654
End Page
1660
Journal / Book Title
European Heart Journal
Volume
42
Issue
17
Copyright Statement
Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2021. For permissions, please email: journals.permissions@oup.com. This is a pre-copy-editing, author-produced version of an article accepted for publication in European Heart Journal following peer review. The definitive publisher-authenticated version is available online at: https://academic.oup.com/eurheartj/advance-article/doi/10.1093/eurheartj/ehab084/6149003
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/33624801
PII: 6149003
Subjects
Active stand
ECG-loop recorders
Orthostatic hypotension
Postural orthostatic tachycardia syndrome
Psychogenic pseudosyncope
Syncope
Tilt-table test
Vasovagal syncope
Publication Status
Published
Coverage Spatial
England
Date Publish Online
2021-02-24