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...

The differentiation of vasovagal syncope and epileptic seizure is sometimes problematic, since vasovagal syncope may mimic epileptic seizures in many ways. The present report describes a patient who had been diagnosed and treated as having epilepsy with medically-refractory sei-zures for 16 years. Often, unlike epileptic seizures, tonic-clonic convulsions and postictal confusion are uncommon fe...

disorder in the same patient rarely co-exist 7. On the other hand, treatment of patients with heart disease with anti-seizure drugs such as carbamazepine could have serious medical and psychosocial outcome such as conduction defects, potential hypersensitivity reaction to anti-seizure drugs, driving restrictions, and cost as indicated in the discussion by Poliquin-Lasnier and Moore published in...

INTRODUCTION AND OBJECTIVES The objective of this study was to determine the diagnostic yield of a stepped protocol involving an electrophysiologic study (EPS) and implantable loop recorders (ILR) in patients with syncope and bundle branch block (BBB). METHODS Eighty-five consecutive patients referred for syncope and BBB after initial non-diagnostic assessment underwent EPS including a pharma...

guides to the medical literature: XXII: how to use articles about clinical decision rules. Evidence-Based Medicine Working Group. JAMA 2000;1:79–84. 26. Bleeker SE, Moll HA, Steyerberg EW, Donders AR, Derksen-Lubsen G, Grobbee DE, Moons KG. External validation is necessary in prediction research: a clinical example. J Clin Epidemiol 2003;9:826–832. 27. Herrmann N. Retrospective information from...

BACKGROUND Implantable loop recorders (ILR) have been found to be useful in the diagnosis and management of syncope of unclear etiology. The clinical symptoms of abnormalities seen during ILR monitoring have not been adequately studied. AIM The aim of this retrospective study was to determine the clinical symptoms which were the best predictors of asystolic or bradycardic responses during ILR...