Can adenosine tilt testing replace conventional tilt testing?

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Head-up tilt testing in children.

The article by Kouakam et al. in issue 22/17 is a prospective observational study of syncope recurrence in 101 children (mean age 12·6 3; range 7–18 years) undergoing head-up tilt testing for investigation of recurrent unexplained syncope or presyncope. Data are presented for patients recruited between 1990 and 1998, and followed-up for an average of 4 years. Head-up tilt was initially positive...

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Head-up tilt test with clomipramine challenge in vasovagal syndrome--a new tilt testing protocol.

PURPOSE The aim of the study was to randomly compare clomipramine, used as a challenge-agent during head-up tilt test, with isoproterenol, used in the conventional test, in patients with vasovagal syndrome. SUBJECTS AND METHODS The serotonergic re-uptake inhibitor clomipramine was infused (5mg in 5min) at the start of head-up tilt test (Clom-HUT) in 126 patients (mean age 41+/-16 years) with ...

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Role of endogenous adenosine as a modulator of syncope induced during tilt testing.

BACKGROUND Previous reports that used head-up tilt testing and adenosine administration have suggested that adenosine may be an important endogenous mediator that may trigger a vasovagal response in susceptible patients. However, little is known regarding endogenous adenosine plasma levels (APLs) during vasovagal syncope provoked by tilt testing. The aim of this study was to determine whether A...

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The normal response to prolonged passive head up tilt testing.

OBJECTIVE To define the responses to head up tilt in a large group of normal adult subjects using the most widely employed protocol for tilt testing. METHODS 127 normal subjects aged 19-88 years (mean (SD), 49 (20) years) without a previous history of syncope underwent tilt testing at 60 degrees for 45 minutes or until syncope intervened. Blood pressure monitoring was performed with digital p...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 1998

ISSN: 0735-1097

DOI: 10.1016/s0735-1097(98)80806-1