Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-16T11:19:44.219Z Has data issue: false hasContentIssue false

Common patterns of response to the head-up tilt test in children and adolescents

Published online by Cambridge University Press:  20 November 2006

Arnulf Boysen
Affiliation:
Centre for Congenital Heart Disease, Klinikum Stuttgart Olgahospital, Germany
Martin A.G. Lewin
Affiliation:
Centre for Congenital Heart Disease, Klinikum Stuttgart Olgahospital, Germany
Frank Uhlemann
Affiliation:
Centre for Congenital Heart Disease, Klinikum Stuttgart Olgahospital, Germany

Abstract

Testing using the head-up tilt table is performed regularly as a diagnostic tool in the evaluation of syncope. Recommendations for protocols, and interpretation of the results, however, are mainly based on experience in adults. We evaluated the results of tilt table testing in 100 consecutive children and adolescents aged from 6 to 18 years and referred for investigation of syncope. Over half the patients, 55%, proved impossible to classify using the criterions established by the European Society of Cardiology. Based on our data, we propose a modified classification for responses to tilt table testing in the young.

Type
Original Article
Copyright
© 2006 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Thijs RD, Wieling W, Kaufmann H, van Dijk G. Defining and classifying syncope. Clin Auton Res 2004; 14 Suppl 1: 48.Google Scholar
Fitzpatrick AP, Theodorakis G, Vardas P, Sutton R. Methodology of head-up tilt testing in patients with unexplained syncope. J Am Coll Cardiol 1991; 17: 125130.Google Scholar
Fortin J, Haitchi G, Bojic A, et al. Validation and Verification of the Task Force® Monitor. External Paper: Results of Clinical Studies for FDA 510(k)n°: K014063, August 2001, 1–7, CNSystems Medizintechnik GmbH, Reininghausstrasse 13, A-8020 GRAZ, Austria.
Brignole M, Alboni P, Benditt D, et al. Guidelines on management (diagnosis and treatment) of syncope. Task force on syncope, European Society of Cardiology. Eur Heart J 2001; 22: 12561306.Google Scholar
Benditt DG, Ferguson DW, Grubb BP, et al. Tilt table testing for assessing syncope. J Am Coll Cardiol 1996; 28: 263275.Google Scholar
Sheldon R. Tilt testing for syncope: a reappraisal. Curr Opin Cardiol 2005; 20: 3841.Google Scholar