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Tilt testing remains a valuable asset

Sutton, Richard ; Fedorowski, Artur LU orcid ; Olshansky, Brian ; Gert van Dijk, J ; Abe, Haruhiko ; Brignole, Michele ; de Lange, Frederik ; Kenny, Rose Anne ; Lim, Phang Boon and Moya, Angel , et al. (2021) In European Heart Journal
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... (More)

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.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
in
European Heart Journal
pages
7 pages
publisher
Oxford University Press
external identifiers
  • scopus:85105432016
  • pmid:33624801
ISSN
1522-9645
DOI
10.1093/eurheartj/ehab084
language
English
LU publication?
yes
id
2d749937-3fa8-4b23-a658-8e752f3f4b0f
date added to LUP
2021-02-26 12:02:22
date last changed
2025-02-07 08:01:40
@article{2d749937-3fa8-4b23-a658-8e752f3f4b0f,
  abstract     = {{<p>Head-up tilt test (TT) has been used for &gt;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.</p>}},
  author       = {{Sutton, Richard and Fedorowski, Artur and Olshansky, Brian and Gert van Dijk, J and Abe, Haruhiko and Brignole, Michele and de Lange, Frederik and Kenny, Rose Anne and Lim, Phang Boon and Moya, Angel and Rosen, Stuart D and Russo, Vincenzo and Stewart, Julian M and Thijs, Roland D and Benditt, David G}},
  issn         = {{1522-9645}},
  language     = {{eng}},
  month        = {{02}},
  publisher    = {{Oxford University Press}},
  series       = {{European Heart Journal}},
  title        = {{Tilt testing remains a valuable asset}},
  url          = {{http://dx.doi.org/10.1093/eurheartj/ehab084}},
  doi          = {{10.1093/eurheartj/ehab084}},
  year         = {{2021}},
}