Key result
Children with vasovagal syncope show longer QTc and TpTe intervals during upright HUTT versus controls.
Why the study?
The study evaluated T wave morphology, QT, and TpTe intervals recorded during HUTT to improve diagnostic accuracy in children with VVS.
Do electrocardiographic T wave parameters recorded during the head-up tilt table test differ between children with vasovagal syncope and healthy controls?
Case-Control (n=70)
Do electrocardiographic T wave parameters recorded during the head-up tilt table test differ between children with vasovagal syncope and healthy controls?
Prolongation of TpTe and QTc intervals during the upright phase of the head-up tilt table test can help identify children with vasovagal syncope who may have a latent risk of long QT syndrome and ventricular arrhythmias.
These parameters may support differentiation of pediatric vasovagal syncope; extends observations but remains hypothesis-generating for arrhythmic risk.
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Markiewicz‐Łoskot et al. (2020) conducted a case-control in Vasovagal syncope (n=70). Vasovagal syncope vs. Healthy volunteers without syncope was evaluated on QTc and TpTe intervals during the upright phase of the HUTT (p=<0.001). Children with vasovagal syncope had significantly longer QTc and TpTe intervals during the upright phase of the head-up tilt table test compared to healthy controls (p < 0.001).
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