conclusions hemodynamic response to the hutt was associated with age. cardioinhibitory response became less frequent with age due to exaggerated vagal activity in the younger patients as compared with the older subjects. background the head-up tilt test (hutt) is a useful diagnostic tool for syncope. objectives we sought to investigate the outcome of the hutt in syncope patients and identify th...

sublingual nitroglycerin (tng) has been introduced as a promising provocative agent for tilt table testing, but it has not been compared directly with the standard isoproterenol (iso) infusion test previously. we tried to assess the diagnostic value and safety of tng tilt testing as compared with iso infusion in patients with unexplained syncope. tng and iso tilt tests were performed in two suc...

BACKGROUND Previous studies have shown that investigation by tilt testing is very appropriate in paediatrics, but the characteristics of children and adolescents who are at high risk of recurrent syncope, once the diagnosis is established, remain unclear. This study was set up to analyse the risk factors attributed to syncope recurrence in paediatric patients. METHODS One hundred and one chil...

Syncope is a common clinical presentation. Although most commonly benign, it may herald a pathology with a poor prognosis. The work-up of syncope includes a careful history, physical examination, electrocardiogram, risk stratification, and appropriately directed testing. The key factor in the investigation of syncope is the presence (or absence) of structural heart disease or an abnormal electr...