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Pregled bibliografske jedinice broj: 805208

Role of tilt-table test in differential diagnosis of unexplained syncope


Mornar Jelavić, Marko; Babić, Zdravko; Hečimović, Hrvoje; Erceg, Vesna; Pintarić, Hrvoje
Role of tilt-table test in differential diagnosis of unexplained syncope // Acta clinica Croatica, 54 (2015), 4; 417-423 (međunarodna recenzija, članak, znanstveni)


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Naslov
Role of tilt-table test in differential diagnosis of unexplained syncope

Autori
Mornar Jelavić, Marko ; Babić, Zdravko ; Hečimović, Hrvoje ; Erceg, Vesna ; Pintarić, Hrvoje

Izvornik
Acta clinica Croatica (0353-9466) 54 (2015), 4; 417-423

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
cardioinhibitory syncope; seizures; tilt-up table-test; permanent pacemaker; epilepsy.

Sažetak
The aim of this retrospective study (February 2012 - September 2014) was to investigate the role of head-up tilt-testing in patients with unexplained syncope. It was performed on 235 patients at Department of Cardiology, University Hospital “Sestre milosrdnice”. They were classified according to the test indications: Group A (convulsive syncope, n=30), Group B (suspected vasovagal syncope, n=180) and Group C (paroxysmal vertigo, n=25). The groups were analysed and compared by their demographic data (age, gender), referral specialists (cardiologists, neurologists, others) and test results (positive/negative) with specific response (cardioinhibitory, vasodepressor, or mixed). Groups A and B were referred most frequently by neurologists and cardiologists (p<0.05). The test was positive in 34 (14.5%) of all evaluated patients (5 in Group A and 29 in Group B), of which 13 (38.2%) had cardioinhibitory, 11 (32.4%) mixed and 10 (29.4%) vasodepressor response. In cardioinhibitory subgroup, 3 patients (23.1%, 2 males/1 female, mean age 28.5 years) with normal electroencephalography were on antiepileptics. During head-up tilt-testing, they had typical convulsions with cardioinhibition and bradycardia (heart rate 30.0±5.0 beats/min) followed by asystole (13.7±11.0 seconds). These three subjects got a permanent pacemaker (atrial/ventricular stimulation, heart rate control) and anticonvulsive therapy was slowly withdrawn with no syncope recurrence during 24 months of follow-up. In conclusion, head-up tilt-test has an important role in evaluation of the patients with unexplained syncope and in differential diagnosis of vasovagal syncope. Indication for a pacemaker implantation, strictly following the European Society of Cardiology guidelines, proved to be effective in preventing syncope relapses in patients with cardioinhibitory convulsive snycope.

Izvorni jezik
Engleski



POVEZANOST RADA


Profili:

Avatar Url Hrvoje Hećimović (autor)

Avatar Url Zdravko Babić (autor)

Avatar Url Hrvoje Pintarić (autor)


Citiraj ovu publikaciju

Mornar Jelavić, Marko; Babić, Zdravko; Hečimović, Hrvoje; Erceg, Vesna; Pintarić, Hrvoje
Role of tilt-table test in differential diagnosis of unexplained syncope // Acta clinica Croatica, 54 (2015), 4; 417-423 (međunarodna recenzija, članak, znanstveni)
Mornar Jelavić, M., Babić, Z., Hečimović, H., Erceg, V. & Pintarić, H. (2015) Role of tilt-table test in differential diagnosis of unexplained syncope. Acta clinica Croatica, 54 (4), 417-423.
@article{article, year = {2015}, pages = {417-423}, keywords = {cardioinhibitory syncope, seizures, tilt-up table-test, permanent pacemaker, epilepsy.}, journal = {Acta clinica Croatica}, volume = {54}, number = {4}, issn = {0353-9466}, title = {Role of tilt-table test in differential diagnosis of unexplained syncope}, keyword = {cardioinhibitory syncope, seizures, tilt-up table-test, permanent pacemaker, epilepsy.} }
@article{article, year = {2015}, pages = {417-423}, keywords = {cardioinhibitory syncope, seizures, tilt-up table-test, permanent pacemaker, epilepsy.}, journal = {Acta clinica Croatica}, volume = {54}, number = {4}, issn = {0353-9466}, title = {Role of tilt-table test in differential diagnosis of unexplained syncope}, keyword = {cardioinhibitory syncope, seizures, tilt-up table-test, permanent pacemaker, epilepsy.} }

Časopis indeksira:


  • Web of Science Core Collection (WoSCC)
    • Science Citation Index Expanded (SCI-EXP)
    • SCI-EXP, SSCI i/ili A&HCI
  • Scopus
  • MEDLINE





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