Naslov
Tilt-table test in patients with convulsive syncope

Autori
Mornar Jelavić, Marko ; Babić, Zdravko ; Hećimović, Hrvoje ; Erceg, Vesna ; Plazonić, Željko ; Pintarić, Hrvoje ; Turčinov, Jadranko

Izvornik
Medica Jadertina (0351-0093) 46 (2016); 7-12

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

Ključne riječi
kardioinhibitorna sinkopa, napadaji, tilt-up test, trajni elektrostimulator, epilepsija.
(cardioinhibitory syncope, seizures, tilt-up table-test, permanent pacemaker, epilepsy)

Sažetak
Aim: To investigate the role of head-up tilt-test (HUTT) in evaluation of patients with convulsive syncope, especially of those resistant on antiepileptic drugs. Patients and methods: This retrospective study (February 2012 – September 2014) was performed on 30 consecutive patients at the Department of Cardiology, Sestre milosrdnice University Hospital Center. They were grouped as follows: Group A (convulsive syncope resistant on antiepileptics, n = 12) and Group B (convulsive syncope with no medications, n = 18). The groups were analysed by their demographic data (age, gender), referral specialists (cardiologists, neurologists, others) and HUTT results (positive/negative) with specific response (cardioinhibitory, vasodepressor, or mixed). Results: Groups A and B were referred to the HUTT only by neurologists (p < 0.05). 5 patients were positive (16.7%). In Group A, 3 patients (60.0%) had cardioinhibitory response, while 2 patients in Group B had mixed (20.0%) and vasodepressor (20.0%) response. All three patients (2 male/1 female, mean age 28.5 years) in Group A with cardioinhibitory response had normal electroencephalography and were on antiepileptics. During HUTT, they had bradycardia (heart rate 30.0 ± 5.0 beats/min) and prolonged asystole (13.7 ± 11.0 seconds) with development of typical convulsions. They got a permanent pacemaker (atrial/ventricular stimulation, heart rate control) and anticonvulsive therapy was slowly withdrawn. They had no syncope recurrence during 24 months of follow-up. Conclusion: HUTT has an important role in the evaluation of patients with convulsive syncope resistant on anticonvulsive drugs. Indication for a pacemaker implantation proved to be effective in preventing syncope relapses in these patients.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA