Rethinking neurological attitudes towards vasovagal syncope: the EFAS recommendations regarding tilt table testing

2021 ◽  
Author(s):  
J. Gert van Dijk ◽  
Roland D Thijs ◽  
Roland D. Thijs ◽  
Michele Brignole ◽  
Cristian Falup‐Pecurariu ◽  
...  
Keyword(s):  
Vasovagal Syncope ◽  
Tilt Table ◽  
Tilt Table Testing

The Newcastle protocols 2008: an update on head-up tilt table testing and the management of vasovagal syncope and related disorders

Heart ◽  
2008 ◽  
Vol 95 (5) ◽  
pp. 416-420 ◽  
Author(s):  
S W Parry ◽  
P Reeve ◽  
J Lawson ◽  
F E Shaw ◽  
J Davison ◽  
...  
Keyword(s):  
Vasovagal Syncope ◽  
Tilt Table ◽  
Tilt Table Testing ◽  
Head Up Tilt

scholarly journals ‘Front-loaded’ head-up tilt table testing: validation of a rapid first line nitrate-provoked tilt protocol for the diagnosis of vasovagal syncope

2008 ◽  
Vol 37 (4) ◽  
pp. 411-415 ◽  
Author(s):  
Steve W. Parry ◽  
Janine C. Gray ◽  
Julia L. Newton ◽  
Pamela Reeve ◽  
Diarmuid O'shea ◽  
...  
Keyword(s):  
Vasovagal Syncope ◽  
First Line ◽  
Tilt Table ◽  
Tilt Table Testing ◽  
Head Up Tilt

scholarly journals Improved Patient Outcomes by Normalizing Sympathovagal Balance: Differentiating Syncope—Precise Subtype Differentiation Leads to Improved Outcomes

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Nicholas L. DePace ◽  
Julie A. Bateman ◽  
Michael Yayac ◽  
John Oh ◽  
Mushfiqur Siddique ◽  
...  
Keyword(s):  
Heart Rate ◽  
Patient Outcomes ◽  
Vasovagal Syncope ◽  
Tilt Table ◽  
Subjective Assessments ◽  
Improved Outcomes ◽  
Tilt Table Testing ◽  
Subtype Differentiation ◽  
Age Range ◽  
Underlying Pathophysiology

Syncope is difficult to definitively diagnose, even with tilt-table testing and beat-to-beat blood pressure measurements, the gold-standard. Both are qualitative, subjective assessments. There are subtypes of syncope associated with autonomic conditions for which tilt-table testing is not useful. Heart rate variability analyses also include too much ambiguity. Three subtypes of syncope are differentiated: vasovagal syncope (VVS) due to parasympathetic excess (VVS-PE), VVS with abnormal heart rate response (VVS-HR), and VVS without PE (VVS-PN). P&S monitoring (ANSAR, Inc., Philadelphia, PA) differentiates subtypes in 2727 cardiology patients (50.5% female; average age: 57 years; age range: 12–100 years), serially tested over four years (3.3 tests per patient, average). P&S monitoring noninvasively, independently, and simultaneously measures parasympathetic and sympathetic (P&S) activity, including the normal P-decrease followed by an S-increase with head-up postural change (standing). Syncope, as an S-excess (SE) with stand, is differentiated from orthostatic dysfunction (e.g., POTS) as S-withdrawal with stand. Upon standing, VVS-PE is further differentiated as SE with PE, VVS-HR as SE with abnormal HR, and VVS-PN as SE with normal P- and HR-responses. Improved understanding of the underlying pathophysiology by more accurate subtyping leads to more precise therapy and improved outcomes.

scholarly journals Evaluation and Management of Reflex Vasovagal Syncope—A Review

2021 ◽  
pp. 263246362110501
Author(s):  
Ameya Udyavar ◽  
Saurabh Deshpande
Keyword(s):  
Diagnostic Tests ◽  
Vasovagal Syncope ◽  
Ecg Monitoring ◽  
Single Test ◽  
Tilt Table ◽  
High Risk Factors ◽  
Cardiac Syncope ◽  
Tilt Table Testing ◽  
Electrocardiogram Ecg

Syncope is a symptom that is commonly encountered in the practice and may point to a cardiac or neurological diagnosis. The evaluation of syncope rests on a thorough clinical evaluation, aided by electrocardiogram (ECG) findings, followed by risk stratification of the particular case. Once high-risk factors have been ruled out, the patient can be further diagnosed as having a reflex syncope (RS), orthostatic hypotension, or cardiac syncope based on specific clues. If the initial evaluation is not confirmatory various diagnostic tests may be used to guide further management (eg, long-term ECG monitoring, tilt table testing, etc). The management should be based on the overall profile of the patient and not only on any single test. In this review, we discuss the evaluation of a patient with RS and give an overview of treatments available for the patients.

Deceleration capacity—a novel measure for autonomic nervous system in patients with vasovagal syncope on tilt-table testing

2017 ◽  
Vol 37 (3) ◽  
pp. 326-331 ◽  
Author(s):  
Fen Huang ◽  
Chun-fang Xu ◽  
Xiao-yan Deng ◽  
Ping Zuo ◽  
Fan Lin ◽  
...  
Keyword(s):  
Nervous System ◽  
Autonomic Nervous System ◽  
Vasovagal Syncope ◽  
Tilt Table ◽  
Deceleration Capacity ◽  
Autonomic Nervous ◽  
Tilt Table Testing

16 The role of tilt table testing in the management of vasovagal syncope

2018 ◽  
Author(s):  
A Dandawate ◽  
CS Ashtekar ◽  
DR Wilson
Keyword(s):  
Vasovagal Syncope ◽  
Tilt Table ◽  
Tilt Table Testing

Evaluation of edrophonium as a provocative agent for vasovagal syncope during head-up tilt-table testing

1993 ◽  
Vol 72 (17) ◽  
pp. 1286-1290 ◽  
Author(s):  
Keith G. Lurie ◽  
John Dutton ◽  
Ripdeep Mangat ◽  
David Newman ◽  
Susan Eisenberg ◽  
...  
Keyword(s):  
Vasovagal Syncope ◽  
Tilt Table ◽  
Tilt Table Testing ◽  
Head Up Tilt
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