May 1, 1992Pacing and Clinical Electrophysiology

The Use of Head‐Upright Tilt Table Testing in the Evaluation and Management of Syncope in Children and Adolescents

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Why the study?

Does upright tilt table testing help evaluate and guide management of recurrent unexplained syncope in children and adolescents?

Structured PICO

Does upright tilt table testing help evaluate and guide management of recurrent unexplained syncope in children and adolescents?

Population

30 children and adolescents with recurrent unexplained syncope, mean age 14 +/- 6 years, 15 males and 15 females.

Intervention

Upright tilt table test for 30 minutes, with or without an infusion of isoproterenol (1 to 3 micrograms/min given intravenously), followed by targeted medical therapy (fluorohydrocortisone, beta blockers, or transdermal scopolamine) for tilt-positive patients.

Outcome

Production of hypotension, bradycardia, or both (syncope) during the tilt test, and recurrence of syncope during follow-up.

Upright tilt table testing is an effective diagnostic tool for identifying vasovagal causes of recurrent unexplained syncope in pediatric patients and can guide successful medical therapy.

Discussion

No takes yet. Share an insight, caveat, or question.

Implication

Case series suggests tilt-guided therapy in pediatric syncope; leaves open efficacy in prospective trials before practice change.

Cite This Study

Grubb et al. (1992) studied this question.

synapsesocial.com/papers/6a20e640920f77b2c049ddfa https://doi.org/10.1111/j.1540-8159.1992.tb06840.x

View Full Paper

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The Use of Head‐Upright Tilt Table Testing in the Evaluation and Management of Syncope in Children and Adolescents

Structured PICO

Discussion

Implication

Cite This Study

The Use of Head‐Upright Tilt Table Testing in the Evaluation and Management of Syncope in Children and Adolescents

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Also Consider