Tilt training EM R1 송진우
|
|
- Eugenia Gray
- 5 years ago
- Views:
Transcription
1 Tilt training EM R1 송진우
2
3 Introduction North American Vasovagal Pacemaker Study Randomized, controlled trial Reduction in the likelihood of syncope by dual chamber pacing with rate drop response No significant effect of pacing on the occurence of presyncope Repeated diagnostic tilt table test in neurocardiogenic syncope Improvement of tilt tolerance Repeated exposure of cardiovascular system to orthostatic stress could have a therapeutic effect on the regulation of cardiovascular reflex mechanisms Possible therapeutic effect of repeated tilt testing was suggested earlier : Morillo et al., Sheldon et al. Purpose To evaluate the effect of continued tilt training on the orthostatic tolerance in patients with neurocardiogenic syncope
4 Patients and Methods 42 patients With neurocardiogenic syncope Recurrent neurocardiogenic syncope At least one positive head-up tilt test Between 1995~1998 Admitted to hospital for a diagnostic workup for a program of tilt table training
5 Patients and Methods Head-up tilt table test According to the Westminster protocol 15 min. resting period in recumbent position Patients were tilted to the upright position at a standard angle of 60 Continuous ECG monitoring During the procedure Heart rate and blood pressure Measured in recumbent position At the end of resting period 3 min after assuming the upright position Every 5 min during the tilt test Negative If the patient could sustain the tilt procedure for 45 min.
6 Patients and Methods Tilt training The same procedure was adopted as for diagnostic tilt testing Tilted daily to 60 position until syncope or severe orthostatic intolerance occurred Target To obtain 2 consecutive negative tilt table tests After hospital discharge Instructed to continue a program of daily tilt training at home One or two sessions per day for 30 minutes To stand with their feet 15cm away from the wall and lean with the upper back against a wall without moving Follow-up Returned to the hospital for control tilt tests Contact by telephone
7
8 Results Diagnostic head-up tilt test Positive tilt test After a mean duration of 21 minutes (SD 13 minutes, minimum 20s) Type of syncope Cardioinhibitory : 14 cases (33%) Vasodepressor : 19 cases (45%) Mixed : 9 cases (22%) Duration of positive tilt test Cardioinhibitory : mean 14.8 min, SD 9 min Vasodepressor : mean 22.9 min, SD 14 min Mixed : 26.5 min, SD 15 min
9 Results Tilt training and Follow-up First negative tilt test result Second session : 18 cases (43%) Third session : 9 cases (21%) Fourth session : 8 cases (19%) Fifth session : 3 cases (7%) Sixth session : 3 cases (7%) Eighth session : 1 cases (2%) Mean 3.24, median 3, SD 1.46 At home, self tilt training Follow-up period : mean 15 months, SD 7.3 months 28 of 42 pt. : continuing tilt training at home 25 of 28 pt. : completely asymptomatic 3 of 28 pt. : still had presyncope 13 of 42 pt. : discontinued tilt training 11 of 13 pt. : completely asymptomatic 1 of 13 pt. : occasional presyncope 1 of 13 pt. : syncope, every 3 months
10 Results Effect of tilt training 36 of 42 pt. (86%) Remained completely free of syncope Mean follow-up 16 months, SD 7.8 months 4 of 42 pt. (9.5% ) Still experienced presyncope 1 of 42 pt. Still experienced syncope 1 of 42 pt. Died from MI At the time of hospital discharge 41 of 42 pt. Could support 45 minutes of head-up tilting 1 of 42 pt. Symptoms persisted though all of eight in hospital tilt training sessions After discharge, with regular tilt training, he became asymptomatic
11 Discussion Morillo et al. In disopyramide study Firstly observe a striking decrease in the incidence of positive tilt tests over time Sheldon et al. Apparent reduction in the risk of a recurrence of syncope after a positive tilt table test The cause might be due to Natural history Reassurance Counseling Coaching on appropriate postural maneuvers
12 Discussion Pharmacological agents to prevent neurocardiogenic syncope No pharmacological agent has proven to be successful overall Cardiac pacing Little effect on the occurrence of presyncope Tilt training method 36 patients (86%) : asymptomatic 4 patients (9.6%) : still with presyncope 1 patients : symptomatic with syncope
13 Discussion Neurally mediated syncope is the result of an imbalance between orthostatic tolerance and gravitational stress Orthostatic intolerance occurs commonly after space flight 9 of 14 crew members could not complete a 10-minute stand test after returning to Earth The lack of gravitational stress can lead to deconditioning of orthostatic tolerance in otherwise healthy subjects Prolonged bed rest experiments for 30 days, daily application of lower body negative pressure prevented orthostatic hypotension and syncope Tilt training Corrects the intolerance for gravitational stress from conditioning of orthostatic reflexes Augments the skeletal pump decreasing peripheral pooling When will stop tilt training?
Efficacy of tilt training in the treatment of neurally mediated syncope. A randomized study
Europace (2004) 6, 199e204 Efficacy of tilt training in the treatment of neurally mediated syncope. A randomized study Giovanni Foglia-Manzillo a, ), Franco Giada b, Germano Gaggioli c, Angelo Bartoletti
More informationRecurrent neurocardiogenic syncope, Tilt training program
Tilt Training for Recurrent Neurocardiogenic Syncope Effectiveness, Patient Compliance, and Scheduling the Frequency of Training Sessions Ozan KINAY, 1 MD, Mehmet YAZICI, 3 MD, Cem NAZLI, 1 MD, Gurkan
More informationRepeated tilt testing in patients with tilt-positive neurally mediated syncope
Europace (25) 7, 628e633 Repeated tilt testing in patients with tilt-positive neurally mediated syncope Hugo Ector a, *, Rik Willems a, Hein Heidbüchel a, Tony Reybrouck b,c a Department of Cardiology,
More informationManagement of syncope in 2014 Role of tilt test
Gdansk BEATA Symposium October 10-11, 2014 Management of syncope in 2014 Role of tilt test Antonio Raviele, MD, FESC, FHRS ALFA Alliance to Fight Atrial fibrillation, Mestre Venice, Italy Protocols /
More informationORIGINAL ARTICLE. Tilt training and pacing: a report on 9 patients with neurally mediated syncope
Acta Cardiol 2010; 65(1): 3-7 doi: 10.2143/AC.65.1.2045882 3 ORIGINAL ARTICLE Tilt training and pacing: a report on 9 patients with neurally mediated syncope Tony REYBROUCK, PhD; Hein HEIDBÜCHEL, MD, PhD;
More informationDeath after Syncope: Can we predict it? Daniel Zamarripa, MD Senior Medical Director December 2013
Death after Syncope: Can we predict it? Daniel Zamarripa, MD Senior Medical Director December 2013 Death after Syncope: Can we predict it? Those who suffer from frequent and severe fainting often die suddenly
More informationSyncope: Evaluation of the Weak and Dizzy
Syncope: Evaluation of the Weak and Dizzy William M. Miles, MD, FACC, FHRS Professor of Medicine Silverstein Chair for Cardiovascular Education University of Florida College of Medicine Disclosures Medtronic,
More informationProlonged Asystole during Head-Up Tilt Test in a Patient with Malignant Neurocardiogenic Syncope
Case Report Prolonged Asystole during Head-Up Tilt Test in a Patient with Malignant Neurocardiogenic Syncope Takashi Tokano MD 1, Yuji Nakazato MD 2, Akitoshi Sasaki MD 3, Gaku Sekita MD 3, Masayuki Yasuda
More informationSYNCOPE. Sanjay P. Singh, MD Chairman & Professor, Department of Neurology. Syncope
SYNCOPE Sanjay P. Singh, MD Chairman & Professor, Department of Neurology. Syncope Syncope is a clinical syndrome characterized by transient loss of consciousness (TLOC) and postural tone that is most
More informationSyncope Guidelines: What s New?
Syncope Guidelines: What s New? Dr. Samuel Asirvatham Professor of Medicine and Pediatrics Mayo Clinic College of Medicine Medical Director, Electrophysiology Laboratory Program Director, EP Fellowship
More informationJune 8, 2018, London UK TREATMENT OF VASOVAGAL SYNCOPE
June 8, 2018, London UK TREATMENT OF VASOVAGAL SYNCOPE Where to go for help Syncope: HRS Definition Syncope is defined as: a transient loss of consciousness, associated with an inability to maintain postural
More informationNeurocardiogenic syncope
Neurocardiogenic syncope Syncope Definition Collapse,Blackout A sudden, transient loss of consciousness and postural tone, with spontaneous recovery Very common Syncope Prevalence All age groups (particularly
More informationTilt Table Testing MM /01/2015. HMO; PPO; QUEST Integration 09/22/2017 Section: Medicine Place(s) of Service: Office, Outpatient
Tilt Table Testing Policy Number: Original Effective Date: MM.02.024 01/01/2015 Line(s) of Business: Current Effective Date: HMO; PPO; QUEST Integration 09/22/2017 Section: Medicine Place(s) of Service:
More informationVasovagal Syncope and Bradyarrhythmias Mechanisms, distinguishing cause and effect
Vasovagal Syncope and Bradyarrhythmias Mechanisms, distinguishing cause and effect Walid Saliba, MD, FHRS, FACC Director EP lab Director Atrial Fibrillation Center Department of Cardiovascular Medicine
More informationSyncope: Evaluation of the Weak and Dizzy
Syncope: Evaluation of the Weak and Dizzy William M. Miles, MD, FACC, FHRS Professor of Medicine Silverstein Chair for Cardiovascular Education University of Florida College of Medicine Disclosures Medtronic,
More informationIl massaggio del seno carotideo Roberto Maggi Centro Aritmologico e Syncope Unit Lavagna, Italia
Il massaggio del seno carotideo Roberto Maggi Centro Aritmologico e Syncope Unit Lavagna, Italia Tigullio Cardiologia, 7 aprile 2016 Carotid sinus hypersensitivity Vagus nerve Glossopharyngeal nerve Carotid
More information13/09/2018. The ISSUE Studies. International (Italy & Spain) Study of Syncope of Uncertain Etiology. ISSUE study Pre-defined inclusion cathegories
The Studies Jean-Claude Deharo Aix-Marseille Université, France In Cardiac Electrophysiology Methods and Models Editors: Daniel C. Sigg, Paul A. Iaizzo, Yong-Fu Xiao, Bin He Springer 2010 study Pre-defined
More informationThe effect of atropine in vasovagal syncope induced by head-up tilt testing
European Heart Journal (1999) 20, 1745 1751 Article No. euhj.1999.1697, available online at http://www.idealibrary.com on The effect of atropine in vasovagal syncope induced by head-up tilt testing M.
More informationResearch Article Recurrent Syncope in Patients with Carotid Sinus Hypersensitivity
International Scholarly Research Network ISRN Cardiology Volume 2012, Article ID 216206, 5 pages doi:10.5402/2012/216206 Research Article Recurrent Syncope in Patients with Carotid Sinus Hypersensitivity
More informationΣε όλους τους ασθενείς με σύνδρομο ευερέθιστου καρωτιδικού κόλπου και συγκοπή πρέπει να εμφυτεύεται μόνιμος βηματοδότης Κατά
Σε όλους τους ασθενείς με σύνδρομο ευερέθιστου καρωτιδικού κόλπου και συγκοπή πρέπει να εμφυτεύεται μόνιμος βηματοδότης Κατά Δρ. H.Θ. Ζάρβαλης Καρδιολογική Κλινική Γ.Ν. Παπαγεωργίου Θεσσαλονίκη Classification
More informationThe relevance of a junctional rhythm during neurocardiogenic reaction provoked by tilt testing
The relevance of a junctional rhythm during neurocardiogenic reaction provoked by tilt testing Dorota Zyśko, Jacek Gajek Wroclaw Medical University, Wroclaw, Poland ESC STOCKHOLM 2010 Junctional rhythm
More informationDiagnostic and therapeutic management of the patient with syncope M. Brignole Arrhythmologic Centre and Syncope Unit Lavagna, Italy
Diagnostic and therapeutic management of the patient with syncope M. Brignole Arrhythmologic Centre and Syncope Unit Lavagna, Italy Eur Heart J. 2009 Nov;30(21):2631-71 Available on www.escardio.org/guidelines
More informationSyncope Guidelines Update. Bernard Harbieh, FHRS AUBMC-KMC Beirut-Lebanon
Syncope Guidelines Update Bernard Harbieh, FHRS AUBMC-KMC Beirut-Lebanon New Syncope Guidelines Increase the volume of information on diagnosis and management Incorporation of emergency specialists, neurologists,
More informationFindings from the 2015 HRS Expert Consensus Document on Postural Tachycardia Syndrome (POTS) and Inappropriate Sinus Tachycardia (IST)
Findings from the 2015 HRS Expert Consensus Document on Postural Tachycardia Syndrome (POTS) and Inappropriate Sinus Tachycardia (IST) Ahmad Hersi, MBBS, MSc, FRCPC Professor of Cardiac Sciences Consultant
More informationTilt Table Testing. Dr. Prateek Suri
Tilt Table Testing Dr. Prateek Suri Background Syncope is very commonly seen in the population Among the various causes of syncope vasovagal syncope is the most common cause There is an absence of a gold
More informationIndex. cardiology.theclinics.com. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Adenosine in idiopathic AV block, 445 446 Adolescent(s) syncope in, 397 409. See also Syncope, in children and adolescents AECG monitoring.
More informationSyncope evaluation: the role of syncope clinics Michele Brignole Arrhythmologic Centre, Lavagna, Italy
Syncope evaluation: the role of syncope clinics Michele Brignole Arrhythmologic Centre, Lavagna, Italy Why should we need a Syncope Management Unit? We are not happy with current strategies: - not standardized
More informationRehabilitation for Postural Tachycardia Syndrome (POTS)
Rehabilitation for Postural Tachycardia Syndrome (POTS) Satish R Raj MD MSCI FACC FHRS FRCPC Associate Professor of Cardiac Sciences University of Calgary Adjunct Associate Professor of Medicine Autonomic
More informationSincope e bradicardia sinusale: quale è la terapia appropriata?
Sincope e bradicardia sinusale: quale è la terapia appropriata? Paolo Alboni, Key points: 1 Fisiopatologia della sincope nei pz con BS 2 Diagnosi del tipo of sincope nei pz con BS 3 Trattamento della syncope
More informationSyncope By Remus Popa
Syncope By Remus Popa A 66 years old male is brought to the ED from a restaurant where he fainted while dining out with his family. He complained of nausea and stood up to go to the restroom but immediately
More informationTilt-table testing of patients with pacemaker and recurrent syncope Nielsen, Christian E. Haarmark; Kanters, Jørgen K.
university of copenhagen Tilt-table testing of patients with pacemaker and recurrent syncope Nielsen, Christian E. Haarmark; Kanters, Jørgen K.; Mehlsen, Jesper Published in: Indian Pacing and Electrophysiology
More informationC1: Medical Standards for Safety Critical Workers with Cardiovascular Disorders
C1: Medical Standards for Safety Critical Workers with Cardiovascular Disorders GENERAL ISSUES REGARDING MEDICAL FITNESS-FOR-DUTY 1. These medical standards apply to Union Pacific Railroad (UPRR) employees
More informationApplying Syncope Guidelines to Clinical Practice
Applying Syncope Guidelines to Clinical Practice ACC Rockies February 27, 2018 Roopinder K Sandhu Associate Professor of Medicine U of A Director of Edmonton Cardiac Arrhythmia Trials Research Group Visiting
More informationOBJECTIVES BACKGROUND METHODS
Journal of the American College of Cardiology Vol. 34, No. 5, 1999 1999 by the American College of Cardiology ISSN 0735-1097/99/$20.00 Published by Elsevier Science Inc. PII S0735-1097(99)00365-4 Diagnostic
More informationIntroduction. * Corresponding author. Tel: þ ; fax: þ address:
Europace (2007) 9, 305 311 doi:10.1093/europace/eum017 Analysis of rhythm variation during spontaneous cardioinhibitory neurally-mediated syncope. Implications for RDR pacing optimization: an ISSUE 2 substudy
More informationPOSTURAL ORTHOSTATIC TACHYCARDIA SYNDROME (POTS) IT S NOT THAT SIMPLE
POSTURAL ORTHOSTATIC TACHYCARDIA SYNDROME (POTS) IT S NOT THAT SIMPLE POTS Irritable heart syndrome. Soldier s heart. Effort syndrome. Vasoregulatory asthenia. Neurocirculatory asthenia. Anxiety neurosis.
More informationPositive Result in the Early Passive Phase of the Tilt-table Test: A Predictor of Neurocardiogenic Syncope in Young Men
ORIGINAL ARTICLE korean j intern med 202;27:60-65 pissn 226-3303 eissn 2005-6648 Positive Result in the Early Passive Phase of the Tilt-table Test: A Predictor of Neurocardiogenic Syncope in Young Men
More informationFaculty Disclosure. Sanjay P. Singh, MD, FAAN. Dr. Singh has listed an affiliation with: Consultant Sun Pharma Speaker s Bureau Lundbeck, Sunovion
Faculty Disclosure Sanjay P. Singh, MD, FAAN Dr. Singh has listed an affiliation with: Consultant Sun Pharma Speaker s Bureau Lundbeck, Sunovion however, no conflict of interest exists for this conference.
More informationEffectiveness of Fludrocortisone and Salt in Preventing Syncope Recurrence in Children A Double-Blind, Placebo-Controlled, Randomized Trial
Journal of the American College of Cardiology Vol. 45, No. 4, 2005 2005 by the American College of Cardiology Foundation ISSN 0735-1097/05/$30.00 Published by Elsevier Inc. doi:10.1016/j.jacc.2004.11.033
More informationTiming of First Recurrence of Syncope Predicts Syncopal Frequency After a Positive Tilt Table Test Result
1284 JACC Vol. 29, No. 6 SYNCOPE Timing of First Recurrence of Syncope Predicts Syncopal Frequency After a Positive Tilt Table Test Result PAUL MALIK, MD, MARY LOU KOSHMAN, RN, ROBERT SHELDON, MD, PHD
More informationDisclosures. I have no financial disclosures relevant to the talk
Syncope Sachin S. Sule, MD, FACP Associate Professor of Integrated Medical Science Division of Medicine Director,Internal Medicine Residency Program Charles E. Schmidt College of Medicine, Florida Atlantic
More informationContempo GIMSI Cosa cambia alla luce della letteratura in tema di terapia farmacologica
Contempo GIMSI 2015-2017 Cosa cambia alla luce della letteratura in tema di terapia farmacologica Dott.ssa Diana Solari Centro Aritmologico e Sincope Unit, Lavagna www.gimsi.it POST 2 (Prevention of Syncope
More informationHeart Rate Variability Analysis Before and After Pacemaker Implantation in Neuromediated Syncopal Patients
148 April 2001 Heart Rate Variability Analysis Before and After Pacemaker Implantation in Neuromediated Syncopal Patients F. ZOLEZZI, C. ORVIENI, R. NEGRO, C.A. MAZZINI Division of Cardiology, Ospedale
More informationLONG-TERM FOLLOW-UP OF DDDR CLOSED-LOOP PACING FOR RECURRENT VASO-VAGAL SYNCOPE
LONG-TERM FOLLOW-UP OF DDDR CLOSED-LOOP PACING FOR RECURRENT VASO-VAGAL SYNCOPE M. Bortnik, G. Dell'era, E. Occhetta, L. Plebani, P. Marino University of Eastern Piedmont, Department of Cardiology, Novara,
More information134 Adrian Baranchuk, MD FACC 1, William McIntyre BSc MD 1, William Harper, MD 2, Carlos A. Morillo, MD, FRCPC, FACC, FHRS, FESC 2.
www.ipej.org 134 Original Article Application Of The American College Of Emergency Physicians (ACEP) Recommendations And a Risk Stratification Score (OESIL) For Patients With Syncope Admitted From The
More informationSINCOPE. La terapia della sincope (secondo il GIMSI) Michele Brignole Centro Aritmologico, Ospedali del Tigullio, Lavagna
SINCOPE 2 0 1 3 La terapia della sincope (secondo il GIMSI) Michele Brignole Centro Aritmologico, Ospedali del Tigullio, Lavagna ESC Guidelines on Management of Syncope Version 2009 Treatment of syncope
More informationSyncope and Cardiovascular Causes of Falls in Older People. Professor T. Masud Nottingham University Hospitals NHS Trust
Syncope and Cardiovascular Causes of Falls in Older People Professor T. Masud Nottingham University Hospitals NHS Trust Faller 1 75 male, smoker, moderate alcohol intake Retired driving instructor At least
More informationFor the Faint of Heart
For the Faint of Heart Developing a Simple Consistent Approach to Diagnosis of Syncope/PoTS R. Austin Raunikar, MD, FAAP, FACC Clinical Associate Professor, USCSOM Greenville Pediatric Cardiology, GHS
More informationCardiac pacing for severe childhood neurally mediated syncope with reflex anoxic seizures
Heart 1999;82:721 725 721 Department of Cardiology, Royal Hospital for Sick Children, Yorkhill NHS Trust, Glasgow G3 8SJ, UK K A McLeod N Wilson J Hewitt Department of Neurology, Royal Hospital for Sick
More informationSyncope: Causes and Treatment
March 01, 2006 By Avery Hayes, MD [1] and Mahendr S. Kochar, MD, MS [2] Because the causes of syncope are numerous and the diagnostic tests have low yield, this disorder is often difficult to evaluate.
More informationDECLARATION OF CONFLICT OF INTEREST
DECLARATION OF CONFLICT OF INTEREST The Management of Syncope remains a challenge: Clues from the History Richard Sutton, DSc Emeritus Professor of Cardiology Imperial College, St Mary s Hospital, London,
More informationSyncope as we age: Frequency of causes and cost of care
Syncope as we age: Frequency of causes and cost of care Dr Steve W Parry Clinical Senior Lecturer and Honorary Consultant Physician Clinical Director, Medicine Falls and Syncope Service, Royal Victoria
More information:{ic0fp'16. Geriatric Medicine: Blood Pressure Monitoring in the Elderly. Terrie Ginsberg, DO, FACOI
:{ic0fp'16 ACOFP 53 rd Annual Convention & Scientific Seminars Geriatric Medicine: Blood Pressure Monitoring in the Elderly Terrie Ginsberg, DO, FACOI Blood Pressure Management in the Elderly Terrie B.
More informationResearch Article Cerebral Blood Flow, Heart Rate, and Blood Pressure Patterns during the Tilt Test in Common Orthostatic Syndromes
Neuroscience Journal Volume 216, Article ID 612734, 2 pages http://dx.doi.org/1.1155/216/612734 Research Article Cerebral Blood Flow, Heart Rate, and Blood Pressure Patterns during the Test in Common Orthostatic
More informationSyncope : What tests should I do? Boon Lim Consultant Cardiologist Clinical Lead for Imperial Syncope Unit Hammersmith Hospital
Syncope : What tests should I do? Boon Lim Consultant Cardiologist Clinical Lead for Imperial Syncope Unit Hammersmith Hospital The most important diagnostic test is History taking Why is history taking
More informationHypotensive susceptibility and antihypertensive drugs Diana Solari Santa Margherita Ligure, 7 aprile 2016
Hypotensive susceptibility and antihypertensive drugs Diana Solari Santa Margherita Ligure, 7 aprile 2016 Arrhythmologic Center, Department of Cardiology, Lavagna SYNCOPE AND ANTIHYPERTENSIVE DRUGS Many
More informationTilt Table Testing and Implantable Loop Recorders for Syncope
Tilt Table Testing and Implantable Loop Recorders for Syncope Robert Sheldon, MD, PhD KEYWORDS Tilt table tests Implantable loop recorders Syncope Randomized studies Diagnosis KEY POINTS Tilt table tests
More informationExercise and Collapse: Differential Diagnosis. Ken Taylor MD UCSD Sports Medicine
Exercise and Collapse: Differential Diagnosis Ken Taylor MD UCSD Sports Medicine Diff Dx:Collapse during/after an endurance event EAC EAH Heat exhaustion/stroke Dehydration Exercise associated hypoglycemia
More informationClinical Case 1 A patient with a syncope Panos E. Vardas President Elect of the ESC, Prof of Cardiology, University Hospital of Crete
Clinical Case 1 A patient with a syncope Panos E. Vardas President Elect of the ESC, Prof. of Cardiology, University Hospital of Crete Case presentation A 64-year-old male smoker, with arterial hypertension
More informationHeart rate variability during asymptomatic periods in children with recurrent neurocardiogenic syncope
The Turkish Journal of Pediatrics 2011; 53: 59-66 Original Heart rate variability during asymptomatic periods in children with recurrent neurocardiogenic syncope Meltem Akçaboy, Semra Atalay, Tayfun Uçar,
More informationSincopi ricorrenti: diagnosi differenziale e management. Alessandro Proclemer SOC Cardiologia Az. Osp.-Univ. Udine
Sincopi ricorrenti: diagnosi differenziale e management Alessandro Proclemer SOC Cardiologia Az. Osp.-Univ. Udine DISCLOSURE INFORMATION Dr. Alessandro Proclemer negli ultimi due anni ho avuto i seguenti
More informationImplications of mechanism of bradycardia on response to pacing in patients with unexplained syncope
Europace (2007) 9, 312 318 doi:10.1093/europace/eum020 Implications of mechanism of bradycardia on response to pacing in patients with unexplained syncope Sachin Sud, George J. Klein, Allan C. Skanes,
More informationSyncope is a clinical syndrome characterized by transient. Management of Syncope in Adults: An Update
SYMPOSIUM MANAGEMENT OF SYNCOPE ON CARDIOVASCULAR DISEASES Management of Syncope in Adults: An Update LIN Y. CHEN, MD; DAVID G. BENDITT, MD; AND WIN-KUANG SHEN, MD Syncope is a clinical syndrome characterized
More informationSequoia Heart Symposium 2018: Syncope. Gregory Engel, MD
Sequoia Heart Symposium 2018: Syncope Gregory Engel, MD Silicon Valley Cardiology Palo Alto Medical Foundation Sutter Health Palo Alto, Redwood City, and San Carlos, CA Chief, Cardiovascular Division Sequoia
More informationLong-term outcome of patients with asystole induced by head-up tilt test
European Heart Journal (2002) 23, 483 489 doi:10.1053/euhj.2001.2900, available online at http://www.idealibrary.com on Long-term outcome of patients with asystole induced by head-up tilt test G. Barón-Esquivias
More informationUse of Methylphenidate in the Treatment of Patients Suffering From Refractory Postural Tachycardia Syndrome
American Journal of Therapeutics 0, 000 000 (2010) Use of Methylphenidate in the Treatment of Patients Suffering From Refractory Postural Tachycardia Syndrome Khalil Kanjwal, MD, 1 Bilal Saeed, MD, 2 Beverly
More informationSYMPATHETIC STRESSORS AND SYMPATHETIC FAILURES
SYMPATHETIC STRESSORS AND SYMPATHETIC FAILURES Any discussion of sympathetic involvement in circulation, and vasodilation, and vasoconstriction requires an understanding that there is no such thing as
More informationValue Of Prodromal Signs And Symptoms In The Differential Diagnosis Of Cardiogenic And Neurogenic Syncope
Value Of Prodromal Signs And Symptoms In The Differential Diagnosis Of Cardiogenic And Neurogenic Syncope P.J. Stryjewski, B. Nessler, A. Kuczaj, E. Nowalany-Kozielska, J. Nessler 1 Cardiology Department,
More informationOriginal Article Usefulness of Tilt Testing in Children with Syncope: A Survey of Pediatric Electrophysiologists
www.ipej.org 242 Original Article Usefulness of Tilt Testing in Children with Syncope: A Survey of Pediatric Electrophysiologists Anjan S. Batra, MD 1 and Seshadri Balaji, MBBS, MRCP (UK), PhD 2. 1 University
More informationLiving with low blood pressure Understanding the medical jargon and tips on how to cope with low BP
Living with low blood pressure Understanding the medical jargon and tips on how to cope with low BP Working together with individuals, families and medical professionals to offer support and information
More informationBryan Heart. Unknown ECGs for the Clinician. Disclaimer 9/2/2015
Bryan Heart Unknown ECGs for the Clinician 2015 Bryan Heart Fall Cardiology Conference Andrew Merliss, MD, FACC, CDRS, FHRS Director of Cardiac Arrhythmia Service Bryan Heart Disclaimer Advisory Board
More informationClinical Policy Title: Tilt table testing
Clinical Policy Title: Tilt table testing Clinical Policy Number: 09.01.13 Effective Date: October 1, 2016 Initial Review Date: July 20, 2016 Most Recent Review Date: August 17, 2017 Next Review Date:
More informationEmergency Department Guidelines COLLAPSE? CAUSE / SYNCOPE. Version x (x 201x) Review date: x 2014 Page 1 of 5
COLLAPSE? CAUSE / SYNCOPE Review date: x 2014 Page 1 of 5 KEY POINTS: Do not use this guideline for mechanical falls Definition: Syncope is a transient loss of consciousness with an inability to maintain
More informationThe usefulness of cardiac pacing for prevention of syncopal
Dual-Chamber Pacing in the Treatment of Neurally Mediated Tilt-Positive Cardioinhibitory Syncope Pacemaker Versus No Therapy: A Multicenter Randomized Study Richard Sutton, DSc Med; Michele Brignole, MD;
More informationas the cause of recurrent syncope 3 allows appropriate management aimed
Case Report Hellenic J Cardiol 2009; 50: 155-159 The Role of the Implantable Loop Recorder in the Investigation of Recurrent Syncope SKEVOS K. SIDERIS 1, TERESA A. MOUSIAMA 1, PAVLOS N. STOUGIANNOS 1,
More informationVasovagal syncope represents a common disorder of the
Permanent Cardiac Pacing Versus Medical Treatment for the Prevention of Recurrent Vasovagal Syncope A Multicenter, Randomized, Controlled Trial Fabrizio Ammirati, MD; Furio Colivicchi, MD; Massimo Santini,
More informationTLOC - What are the red flags? John Dean March 2018
TLOC - What are the red flags? John Dean March 2018 What is TLOC? Transient loss of consciousness It is very common It accounts for 5% of ED attendances It accounts for 6% of hospital admissions It consumes
More informationDesmopressin In The Treatment of Postural Orthostatic Tachycardia
The Journal of Innovations in Cardiac Rhythm Management, 6 (2015), 2222 2226 DOI: 10.19102/icrm. 2015.061202 PHARMACOLOGICAL THERAPY RESEARCH ARTICLE Desmopressin In The Treatment of Postural Orthostatic
More informationAutonomic Mediated (Neurocardiogenic) Syncope
Autonomic Mediated (Neurocardiogenic) Syncope Introduction Syncope is brief loss of consciousness causing collapse with spontaneous recovery. Other terms used to describe syncope include blackout, faint,
More informationTachycardia Devices Indications and Basic Trouble Shooting
Tachycardia Devices Indications and Basic Trouble Shooting Peter A. Brady, MD., FRCP Cardiology Review Course London, March 6 th, 2014 2011 MFMER 3134946-1 Tachycardia Devices ICD Indications Primary and
More informationSyncope: The Pediatric Patient
Syncope: The Pediatric Patient Lindsey Malloy-Walton, DO, MPH, FAAP Division of Pediatric Cardiology Children s Mercy Hospital 2401 Gillham Road Kansas City, MO 64108 Phone (office): 816-234-3255 Email:
More informationPyridostigmine in the Treatment of Postural Orthostatic Tachycardia: A Single-Center Experience
Pyridostigmine in the Treatment of Postural Orthostatic Tachycardia: A Single-Center Experience KHALIL KANJWAL, M.D.,* BEVERLY KARABIN, PH.D.,* MUJEEB SHEIKH, M.D.,* LAWRENCE ELMER, M.D., PH.D., YOUSUF
More informationSection Editor Leonard I Ganz, MD, FHRS, FACC
1 of 12 9/29/2013 6:53 PM Official reprint from UpToDate www.uptodate.com 2013 UpToDate The content on the UpToDate website is not intended nor recommended as a substitute for medical advice, diagnosis,
More informationClinical Policy Title: Tilt table testing
Clinical Policy Title: Tilt table testing Clinical Policy Number: CCP.1249 Effective Date: October 1, 2016 Initial Review Date: July 20, 2016 Most Recent Review Date: August 7, 2018 Next Review Date: August
More informationLe linee guida Sincope 2018 della Società Europea di Cardiologia La Syncope Unit Multidisciplinare. Andrea Ungar, MD, PhD, FESC
Le linee guida Sincope 2018 della Società Europea di Cardiologia La Syncope Unit Multidisciplinare Andrea Ungar, MD, PhD, FESC Syncope Unit, Hypertension Centre Geriatric and Intensive care Medicine University
More informationAPPENDIX D1 - CHARACTERISTICS OF INCLUDED STUDIES APPENDIX D1 - CHARACTERISTICS OF INCLUDED STUDIES... 1
APPENDIX D1 - CHARACTERISTICS OF INCLUDED STUDIES APPENDIX D1 - CHARACTERISTICS OF INCLUDED STUDIES... 1 1 Initial Assessment included studies table... 3 1.1 Initial symptoms for diagnosis review... 3
More informationEffects of Four Weeks of Absolute Bed Rest on Circulator)' Functions in Man
Effects of Four Weeks of Absolute Bed Rest on Circulator)' Functions in Man MAJOR PERRY B. MLLER, USAF, MC, LT. COLONEL ROBERT L. JOHNSON, USAF, MC, and LAWRENCE E. LAMB, M.D. ABSTRACT Various effects
More informationClinical Characteristics of Defecation Syncope Compared With Micturition Syncope
Circulation Journal Official Journal of the Japanese Circulation Society http://www.j-circ.or.jp ORIGINAL ARTICLE Hypertension and Circulatory Control Clinical Characteristics of Defecation Syncope Compared
More informationSeek and Ye Shall Find: Surprising Findings When Using the ILR-LINQ
Seek and Ye Shall Find: Surprising Findings When Using the ILR-LINQ Suneet Mittal, MD, FACC, FHRS Director, Electrophysiology Laboratory Valley Health System www.arrhythmia.org; @drsuneet October 31, 2015
More informationOriginal. Head-Up Tilt Test: Lessons Learned from 564 Consecutive Cases. Abstract
ISSN 0001-6002/2012/54/1/38-44 Acta Médica Costarricense, 2012 Colegio de Médicos y Cirujanos de Costa Rica Original Head-Up Tilt Test: Lessons Learned from 564 Consecutive Cases. Dr. Oswaldo Gutie rrez-sotelo,
More informationValutazione iniziale e stratificazione del rischio
Valutazione iniziale e stratificazione del rischio Paolo Alboni Sezione di Cardiologia Ospedale Privato Quisisana Ferrara DEFINITION OF SYNCOPE Syncope is a transient loss of consciousness due to global
More informationGender Difference in Patients with Recurrent Neurally Mediated Syncope
Original Article DOI 10.3349/ymj.2010.51.4.499 pissn: 0513-5796, eissn: 1976-2437 Yonsei Med J 51(4):499-503, 2010 Gender Difference in Patients with Recurrent Neurally Mediated Syncope Jungwae Park, 1
More informationAPPENDIX D1 - CHARACTERISTICS OF INCLUDED STUDIES
APPENDIX D1 - CHARACTERISTICS OF INCLUDED STUDIES 1 Initial Assessment included studies table... 3 1.1 Initial symptoms for diagnosis review... 3 1.2 Decision rules for diagnosis review... 8 1.3 Initial
More informationMedical Conditions, Sudden Incapacitation and Assessing Syncope & Unexplained Loss of Consciousness
Medical Conditions, Sudden Incapacitation and Assessing Syncope & Unexplained Loss of Consciousness Kurt T. Hegmann, MD, MPH Professor and Center Director Dr. Paul S. Richards Endowed Chair in Occupational
More informationPacing in elderly recurrent fallers with carotid sinus hypersensitivity: a randomised, double-blind, placebo controlled crossover trial
See Editorial, p 350 1 Falls and Syncope Service, and Institute for Ageing and Health, Newcastle General Hospital, Newcastle upon Tyne, UK; 2 Institute of Health and Society, University of Newcastle upon
More informationSetting up and running an effective Syncope Service
Setting up and running an effective Syncope Service P Boon Lim Consultant Cardiologist and Electrophysiologist Clinical Lead Syncope Diagnostic Unit Imperial College Healthcare NHS Trust Hammersmith Hospital
More informationVasovagal syncope in 2016: the current state of the faint
Interventional Cardiology Vasovagal syncope in 2016: the current state of the faint In this article, we will review the challenges in defining syncope and the evolution of its definition over the past
More informationCan prodromal symptoms predict recurrence of vasovagal syncope?
ORIGINAL ARTICLE Cardiology Journal 2008, Vol. 15, No. 5, pp. 446 450 Copyright 2008 Via Medica ISSN 1897 5593 Can prodromal symptoms predict recurrence of vasovagal syncope? Amir Farjam Fazelifar 1, Hosein
More informationIncidence, Clinical Presentation. and Outcome in Patients with Long. Asystole Induced by Head-up Tilt Test
2005 16 134-138 Incidence, Clinical Presentation and Outcome in Patients with Long Asystole Induced by Head-up Tilt Test Ming-Ting Chou, Chen-Chuan Cheng, Wen-Shiann Wu, and Tseui-Yuen Huang Division of
More informationMalignant vasovagal syncope: a randomised trial of metoprolol and clonidine
268 Institute of Cardiology, Policlinico S Orsola, University of Bologna, Italy M Biffi G Boriani P Sabbatani G Bronzetti L Frabetti R Zannoli A Branzi B Magnani Correspondence to: Dr M Biffi, Institute
More information