scholarly journals Electrocardiographic Patterns in Patients with Neurally Mediated Syncope

Medicina ◽  
2021 ◽  
Vol 57 (8) ◽  
pp. 808
Author(s):  
Călina-Patricia Țentea ◽  
Csilla-Andrea Eötvös ◽  
Roxana-Daiana Lazar ◽  
Giorgia Paștiu ◽  
Iulia-Georgiana Zehan ◽  
...  
Keyword(s):  
Prognostic Value ◽  
Ecg Monitoring ◽  
Tilt Table Test ◽  
Ecg Changes ◽  
Tilt Table ◽  
Neurally Mediated Syncope ◽  
Electrocardiogram Ecg ◽  
Selection Of Patients ◽  
Diagnostic And Prognostic Value ◽  
Selection Of

The baseline electrocardiogram (ECG) is less informative in neurally mediated syncope (NMS) than in arrhythmic syncope. However, some of the ECG patterns present in NMS can have diagnostic and prognostic value in such patients. Electrocardiographic documentation of a syncopal spell and thus identification of the ECG changes can be performed during tilt table test (TTT) or during prolonged ECG monitoring. This work reviews the specific ECG patterns in NMS, which are primarily related to the cardioinhibitory reflex. In addition, there are other ECG findings present in patients with NMS that are being analyzed, such as increased heart rate variability as well as specific QRS voltage patterns. In addition to the diagnostic and prognostic value, these ECG patterns in NMS may help improving the selection of patients for pacemaker implant.

The Use of Transcranial Doppler during Tilt Table Testing in Children Presenting with Syncope

2007 ◽  
Vol 31 (2) ◽  
pp. 81-86 ◽  
Author(s):  
Heather A. Nicoletto ◽  
Mark W. Ellis ◽  
Daniel T. Laskowitz ◽  
Ronald J. Kanter ◽  
April E. Perry ◽  
...  
Keyword(s):  
Transcranial Doppler ◽  
Psychiatric Treatment ◽  
Cerebral Arteries ◽  
Tilt Table Test ◽  
Tilt Table ◽  
Multimodal Monitoring ◽  
Neurally Mediated Syncope ◽  
Middle Cerebral Arteries ◽  
Tilt Table Testing ◽  
Flow Velocities

Childhood syncope is common, and there are three categories of causes of syncope: noncardiovascular pseudosyncope, cardiovascular syncope, and neurally mediated syncope. Tilt table testing has become a valuable tool in the evaluation for the cause of syncope in children. Adding transcranial Doppler (TCD) to the tilt table test to monitor the middle cerebral arteries (MCA) adds valuable information about the cerebral blood flow during a syncopal episode and can help the physician differentiate between the various causes of syncope. Three children with frequent syncopal episodes were evaluated using tilt table testing with multimodal monitoring, including TCD. One child, during her syncopal episode, had an increase in blood pressure, heart rate, and MCA flow velocities. This finding was consistent with noncardiovascular pseudosyncope, and she was sent for psychiatric treatment. The other two patients had hypotension, bradycardia, a significant decrease in MCA flow velocities, and an increase in pulsatility indices. Additionally, one of them experienced a 6-sec period of asystole. Both were diagnosed with neurally mediated syncope and were placed on fludrocortisone and a water and salt regimen.

Hormonal Responses During Tilt-Table Test in Neurally Mediated Syncope

1997 ◽  
Vol 79 (12) ◽  
pp. 1692-1695 ◽  
Author(s):  
George N. Theodorakis ◽  
Manolis Markianos ◽  
Efthimios G. Livanis ◽  
Elias Zarvalis ◽  
Panagiota Flevari ◽  
...  
Keyword(s):  
Tilt Table Test ◽  
Tilt Table ◽  
Hormonal Responses ◽  
Neurally Mediated Syncope

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.

CT Discography: Prognostic Value in the Selection of Patients for Chemonucleolysis

Spine ◽  
1987 ◽  
Vol 12 (8) ◽  
pp. 792-795 ◽  
Author(s):  
WALTER C. EDWARDS ◽  
TERRY J. ORME ◽  
GRACE ORR-EDWARDS
Keyword(s):  
Prognostic Value ◽  
Selection Of Patients ◽  
Selection Of

scholarly journals Galactin-3: diagnostic and prognostic value in patients with chronic heart failure

2019 ◽  
Vol 91 (9) ◽  
pp. 145-149
Author(s):  
A M Aliyeva ◽  
I E Baykova ◽  
V A Kislyakov ◽  
E T Gasanova ◽  
I I Almazova ◽  
...  
Keyword(s):  
Heart Failure ◽  
Clinical Practice ◽  
Prognostic Value ◽  
Therapeutic Strategy ◽  
Early Diagnostics ◽  
Inflammatory Reactions ◽  
The Family ◽  
New Biomarkers ◽  
Diagnostic And Prognostic Value ◽  
Selection Of

Now there is a relevant development of the new biomarkers capable to serve as the instrument of early diagnostics of a disease for the purpose of selection of a pharmacotherapy and further monitoring of its efficiency. Galektin-3 is the atypical representative of the family of galektin. Its participation in fibrosis, remodeling of heart, the immunologic answer and inflammatory reactions are shown. Prognostic value is discussed and diagnostic opportunities of Galektin-3 at CHF are widely studied and take root into clinical practice. Now a great deal of research devoted to the studying of Galektin-3, possibilities of its use as a biomarker at diagnostics, forecasting of outcomes and the choice of therapeutic strategy at other cardiovascular diseases has been conducted.

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