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Tilt-test in assessment of syncope in young people

Abstract

According to the European (2009) and American (2017) guidelines for syncope, syncope is a transient loss of consciousness due to transient global cerebral hypoperfusion characterized by rapid onset, short duration, and spontaneous complete recovery. One of the leader in examination of patients with reflex syncope it is passive orthostatic test or tilt-test. In the article classification of syncope, indicataion for tilt-test, diagnostic yield and approaches to treatment syncope in children and adolescents are shown.

About the Authors

L. M. Makarov
Children and Adolescents of the Central Clinical Children Hospital; Institute for Advanced Training
Russian Federation


V. N. Komoliatova
Children and Adolescents of the Central Clinical Children Hospital; Institute for Advanced Training
Russian Federation


I. I. Kiseleva
Children and Adolescents of the Central Clinical Children Hospital
Russian Federation


References

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2. Shen WK, Sheldon RS, Benditt DG, et al. 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Circulation. 2017; 136 (5): e25-e59.

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4. Grubb BP, Kosinski DJ, Boehm K, et al. The postural orthostatic tachycardia syndrome: a neurocardiogenic variant identified during head-up tilt table testing. Pacing Clin Electrophysiol 1997; 20: 2205-2212.

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6. Лесницкая М. Г., Макаров Л.М., Киселева И. И., и др. «Распространенность и особенности синкопе в популяции школьников от 7 до 17 лет». Материалы 15-го Конгресса Российского общества холтеровского мониторирования и неинвазивной электрофизиологии (РОХМиНЭ); 7-го Всероссийского конгресса «Клиническая электрокардиология»», 23-24 апреля 2014, Белгород, с. 19.

7. Kenny RA, Ingram A, Bayliss J, et al. Head-up tilt: a useful test for investigating unexplained syncope. Lancet 1986; 1: 1352-1355.


Review

For citations:


Makarov L.M., Komoliatova V.N., Kiseleva I.I. Tilt-test in assessment of syncope in young people. Medical alphabet. 2018;1(4):15-21. (In Russ.)

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ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)