ASSOCIATION OF AGE WITH HEMODYNAMIC RESPONSES TO THE HEAD-UP TILT TEST IN PATIENTS WITH VASOVAGAL SYNCOPE

ABSTRACT Objective: To access the end-result responses to the head-up tilt test in three different age groups explore the influence of age and gender on the head-up tilt test result in syncope patients. Head-up tilt test is a gold standard diagnostic tool for unexplained vasovagal syncope and is con...

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Bibliographic Details
Published in:Pakistan Armed Forces medical journal 2017-04 (2), p.S145
Main Authors: Parveen, Sajida, Hayat, Azmat, Zahid, Maham, Naheed, Asma, Naeem, Sara, Javed, Samina
Format: Article
Language:English
Subjects:
Age groups
Blood pressure
Cardiac arrhythmia
Cardiology
Colleges & universities
Family medical history
Gender
Heart rate
Medical research
Nervous system
Patients
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Summary:ABSTRACT Objective: To access the end-result responses to the head-up tilt test in three different age groups explore the influence of age and gender on the head-up tilt test result in syncope patients. Head-up tilt test is a gold standard diagnostic tool for unexplained vasovagal syncope and is considered to be a safe, useful and cost-effective modality. In this study we investigated the outcome responses of head up tilt test in vasovagal syncope patients presenting to Armed Forces Institute of Cardiology & National Institute of Heart Diseases, with an objective to explore any association between test outcomes, age and gender of the patient. Patients with structural heart disease (coronary artery stenosis, mitral stenosis, leftventricular outflow obstruction), cardiomyopathies and/or allergy to nitrates were excluded from the study. Detailed medical history was taken, physical examination including weight and height was done for each patient along with informed consent for participation in the study. The test then proceeded to active phase for further 30 minutes, where 500 micrograms of sublingual nitroglycerine (Angised® - GSK) was administered to the tilted patient with continuous monitoring of systolic diastolic blood pressures and heart rate. Mathur S, Guertin D, Coleman CI, Thompson PD, Kluger J. Physical activity is associated with positive responses during carotid sinus massage and head-up tilt-table test in patients with unexplained syncope. Sajida Parveen, Azmat Hayat, Maham Zahid, Asma Naheed*, Sara Naeem**, Samina Javed Armed Forces Institute of Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS) Rawalpindi Pakistan, *Combined Military Hospital Kohat/National...
ISSN:0030-9648
2411-8842