Transcranial Doppler monitoring during head upright tilt table testing in patients with suspected neurocardiogenic syncope
The aim of the present study was to evaluate the mechanism of cerebrovascular autoregulation in patients with neurocardiogenic syncope using bilateral transcranial Doppler (TCD) monitoring during head upright tilt table testing (HUT). Two hundred and six patients were prospectively studied. One hund...
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| Otros Autores: | , , , , , , , , |
| Formato: | Capítulo de libro |
| Lenguaje: | Inglés |
| Publicado: |
2004
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| Acceso en línea: | Registro en Scopus DOI Handle Registro en la Biblioteca Digital |
| Aporte de: | Registro referencial: Solicitar el recurso aquí |
| LEADER | 09574caa a22013097a 4500 | ||
|---|---|---|---|
| 001 | PAPER-21352 | ||
| 003 | AR-BaUEN | ||
| 005 | 20230518205249.0 | ||
| 008 | 190411s2004 xx ||||fo|||| 00| 0 eng|d | ||
| 024 | 7 | |2 scopus |a 2-s2.0-3042785175 | |
| 024 | 7 | |2 cas |a isosorbide dinitrate, 87-33-2 | |
| 040 | |a Scopus |b spa |c AR-BaUEN |d AR-BaUEN | ||
| 030 | |a EUROC | ||
| 100 | 1 | |a Albina, G. | |
| 245 | 1 | 0 | |a Transcranial Doppler monitoring during head upright tilt table testing in patients with suspected neurocardiogenic syncope |
| 260 | |c 2004 | ||
| 270 | 1 | 0 | |m Albina, G.; Cardiovascular Inst. of Buenos Aires, Blanco Encalada 1543, 1428 Buenos Aires, Argentina; email: albinag@netverk.com.ar |
| 506 | |2 openaire |e Política editorial | ||
| 504 | |a Lempert, T., Bauer, M., Schmidt, D., Syncope: A videometric analysis of 56 episodes of transient cerebral hypoxia (1994) Ann. Neurol., 36, pp. 233-237 | ||
| 504 | |a Grubb, B.P., Olshansky, B., Syncope: Mechanisms and management (1998) Neurocardiogenic Syncope, pp. 73-106. , B.P. Grubb editor. Futura Publishing Company | ||
| 504 | |a Grimm, D.R., Neurally mediated syncope: A review of cardiac and arterial receptors (1997) J. Clin. Neurophysiol., 14, pp. 170-182 | ||
| 504 | |a Sutton, R., Petersen, M., The clinical spectrum of neurocardiogenic syncope (1995) J. Cardiovasc. Electrophysiol., 6, pp. 569-576 | ||
| 504 | |a Wallbridge, D.R., MacIntyre, H.E., Gray, C.E., Denvir, M.A., Oldroyd, K.G., Rae, A.P., Increase in plasma β endorphins precedes vasodepressor syncope (1994) Br. Heart J., 71, pp. 597-599 | ||
| 504 | |a Aaslid, R., Markwalder, T.-M., Nornes, H., Non-invasive transcranial Doppler ultrasound recording of flow velocity in basal cerebral arteries (1982) J. Neurosurg., 57, pp. 769-774 | ||
| 504 | |a Petty, G.W., Wiebers, D.O., Meissner, I., Transcranial Doppler ultrasonography: Clinical applications in cerebrovascular disease (1990) Mayo Clin. Proc., 65, pp. 1350-1364 | ||
| 504 | |a Benditt, D.G., Remole, S., Bailin, S., Dunnigan, A., Asso, A., Milstein, S., Tilt table testing for evaluation of neurally mediated (cardioneurogenic) syncope: Rationale and proposed protocols (1991) Pacing Clin. Electrophysiol., 14, pp. 1528-1537 | ||
| 504 | |a Fitzpatrick, A.P., Sutton, R., Tilting towards a diagnosis in recurrent unexplained syncope (1989) Lancet, 1, pp. 658-660 | ||
| 504 | |a Raviele, A., Gasparini, G., Di Pede, F., Nitroglycerin infusion during upright tilt: A new test for the diagnosis of vasovagal syncope (1994) Am. Heart J., 127, pp. 103-111 | ||
| 504 | |a Raviele, A., Menozzi, C., Brignole, M., Value of head-up tilt testing potentiated with sublingual nitroglycerin to assess the origin of unexplained syncope (1995) Am. J. Cardiol., 76, pp. 267-272 | ||
| 504 | |a Zung, C., Zher, Z., Hu, W., Value of sublingual isosorbide dinitrate before isoproterenol tilt test for diagnosis of neurally mediated syncope (1999) Am. J. Cardiol., 83, pp. 1059-1063 | ||
| 504 | |a Ammirati, F., Colvicchi, F., Biffi, A., Mageis, B., Pandozi, C., Santini, M., Head-up tilt testing potentiated with low-dose sublingual isosorbide dinitrate. A simplified time-saving approach for the evaluation of unexplained syncope (1998) Am. Heart J., 135, pp. 671-676 | ||
| 504 | |a Del Rosso, A., Bartoli, P., Bertoletti, A., Shortened head-up tilt testing potentiated with sublingual nitroglycerin in patients with unexplained syncope (1998) Am. Heart J., 135, pp. 564-570 | ||
| 504 | |a Sutton, R., Petersen, M., Brignole, M., Raviele, A., Menozzi, C., Giani, P., Proposed classification for tilt induced vasovagal syncope (1992) Eur. J. Card. Pacing Electrophysiol., 2, pp. 180-183 | ||
| 504 | |a Aaslid, R.P., Lindegaard, K.F., Sorteberg, W., Nornes, H., Cerebral autoregulation dynamics in humans (1989) Stroke, 20, pp. 45-52 | ||
| 504 | |a Tiecks, F.P., Lam, A.M., Aaslid, R., Newell, D., Comparison of static and dynamic cerebral autoregulation measurements (1995) Stroke, 26, pp. 1014-1019 | ||
| 504 | |a Grubb, B.P., Gerard, G., Roush, K., Cerebral vasoconstriction during head-upright tilt-induced vasovagal syncope. A paradoxic and unexpected response (1991) Circulation, 84, pp. 1157-1164 | ||
| 504 | |a Fredman, C.S., Bierman, K.M., Patel, V., Uppstrom, E.L., Auer, A.I., Transcranial Doppler ultrasonography during head-upright tilt-table testing (1995) Ann. Intern. Med., 123, pp. 848-849 | ||
| 504 | |a Sung, R.Y., Du, Z.D., Yu, C.W., Yam, M.C., Fok, T.F., Cerebral blood flow during vasovagal syncope induced by active standing or head up tilt (2000) Arch. Dis. Child, 82, pp. 154-158 | ||
| 504 | |a Grubb, B.P., Samoil, D., Kosinski, D., Wolfe, D., Arewster, P., Elliott, L., Cerebral syncope: Loss of consciousness associated with cerebral vasoconstriction in the absence of systemic hypotension (1998) Pacing Clin. Electrophysiol., 21, pp. 652-658 | ||
| 504 | |a Dan, D., Hoag, J.B., Ellenbogen, K.A., Wood, M.A., Eckberg, D.L., Gilligan, D.M., Cerebral blood flow velocity declines before arterial pressure in patients with orthostatic vasovagal presyncope (2002) J. Am. Coll. Cardiol., 39, pp. 1039-1045 | ||
| 504 | |a Bondar, R.L., Kassan, M.S., Stein, F., Dunphy, P.T., Fortney, S., Riedesel, M.L., Simultaneous cerebrovascular and cardiovascular responses during syncope and presyncope (1995) Stroke, 26, pp. 1794-1800 | ||
| 504 | |a Schondorf, R., Benoit, J., Wein, T., Cerebrovascular and cardiovascular measurements during neurally mediated syncope induced by head-up tilt (1997) Stroke, 28, pp. 1564-1568 | ||
| 520 | 3 | |a The aim of the present study was to evaluate the mechanism of cerebrovascular autoregulation in patients with neurocardiogenic syncope using bilateral transcranial Doppler (TCD) monitoring during head upright tilt table testing (HUT). Two hundred and six patients were prospectively studied. One hundred and fifty-nine subjects (77%) had a prior history of syncope and 47 (23%) had presyncope. Ninety-nine patients (48%) had syncope or presyncope during HUT with a 76% fall in diastolic middle cerebral artery blood flow velocity (D-MCA-BFV). Systolic MCA-BFV (S-MCA-BFV) fell by 33%. Deepening of the dicrotic notch in the Doppler waveform always preceded the fall in D-MCA-BFV. Patients without syncope or presyncope (n=96) had smaller changes in cerebral blood flow velocities during HUT and only twenty-two subjects had transient deepening of the dicrotic notch. Eleven subjects had presyncope during HUT due to an exaggerated response to nitrates with progressive arterial hypotension without bradycardia and changes during TCD monitoring that were intermediate between positive and negative HUT. In conclusion, patients with neurocardiogenic syncope have changes in cerebral blood flow during the event. TCD monitoring during HUT helps to assess these alterations. © 2003. Published by Elsevier Ltd on behalf of The European Society of Cardiology. |l eng | |
| 593 | |a Cardiovascular Inst. of Buenos Aires, Blanco Encalada 1543, 1428 Buenos Aires, Argentina | ||
| 593 | |a Institute for Neurological Research, Buenos Aires, Argentina | ||
| 690 | 1 | 0 | |a HEAD UPRIGHT TILT TABLE TEST |
| 690 | 1 | 0 | |a SYNCOPE |
| 690 | 1 | 0 | |a TRANSCRANIAL DOPPLER |
| 690 | 1 | 0 | |a ISOSORBIDE DINITRATE |
| 690 | 1 | 0 | |a ADOLESCENT |
| 690 | 1 | 0 | |a ADULT |
| 690 | 1 | 0 | |a AGED |
| 690 | 1 | 0 | |a ANAMNESIS |
| 690 | 1 | 0 | |a ARTICLE |
| 690 | 1 | 0 | |a BLOOD FLOW VELOCITY |
| 690 | 1 | 0 | |a BRADYCARDIA |
| 690 | 1 | 0 | |a BRAIN BLOOD FLOW |
| 690 | 1 | 0 | |a CARDIOVASCULAR AUTOREGULATION |
| 690 | 1 | 0 | |a CHILD |
| 690 | 1 | 0 | |a CONTROLLED STUDY |
| 690 | 1 | 0 | |a DIASTOLE |
| 690 | 1 | 0 | |a DOPPLER ECHOGRAPHY |
| 690 | 1 | 0 | |a DRUG RESPONSE |
| 690 | 1 | 0 | |a FEMALE |
| 690 | 1 | 0 | |a HEAD TILTING |
| 690 | 1 | 0 | |a HUMAN |
| 690 | 1 | 0 | |a HYPOTENSION |
| 690 | 1 | 0 | |a MAJOR CLINICAL STUDY |
| 690 | 1 | 0 | |a MALE |
| 690 | 1 | 0 | |a MEDICAL ASSESSMENT |
| 690 | 1 | 0 | |a PATIENT MONITORING |
| 690 | 1 | 0 | |a PRIORITY JOURNAL |
| 690 | 1 | 0 | |a SYNCOPE |
| 690 | 1 | 0 | |a TILT TABLE TEST |
| 690 | 1 | 0 | |a BRAIN CIRCULATION |
| 690 | 1 | 0 | |a DOPPLER ECHOGRAPHY |
| 690 | 1 | 0 | |a ECHOGRAPHY |
| 690 | 1 | 0 | |a MIDDLE AGED |
| 690 | 1 | 0 | |a PATHOPHYSIOLOGY |
| 690 | 1 | 0 | |a PHYSIOLOGY |
| 690 | 1 | 0 | |a TILT TABLE TEST |
| 690 | 1 | 0 | |a ADOLESCENT |
| 690 | 1 | 0 | |a ADULT |
| 690 | 1 | 0 | |a AGED |
| 690 | 1 | 0 | |a AGED, 80 AND OVER |
| 690 | 1 | 0 | |a BLOOD FLOW VELOCITY |
| 690 | 1 | 0 | |a CEREBROVASCULAR CIRCULATION |
| 690 | 1 | 0 | |a CHILD |
| 690 | 1 | 0 | |a FEMALE |
| 690 | 1 | 0 | |a HUMANS |
| 690 | 1 | 0 | |a MALE |
| 690 | 1 | 0 | |a MIDDLE AGED |
| 690 | 1 | 0 | |a SYNCOPE, VASOVAGAL |
| 690 | 1 | 0 | |a TILT-TABLE TEST |
| 690 | 1 | 0 | |a ULTRASONOGRAPHY, DOPPLER, TRANSCRANIAL |
| 700 | 1 | |a Fernandez Cisneros, L. | |
| 700 | 1 | |a Laiño, R. | |
| 700 | 1 | |a Nobo, U.L. | |
| 700 | 1 | |a Ortega, D. | |
| 700 | 1 | |a Schwarz, E. | |
| 700 | 1 | |a Barja, L. | |
| 700 | 1 | |a Lagos, R. | |
| 700 | 1 | |a Giniger, A. | |
| 700 | 1 | |a Ameriso, S.F. | |
| 773 | 0 | |d 2004 |g v. 6 |h pp. 63-69 |k n. 1 |p Europace |x 10995129 |t Europace | |
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| 856 | 4 | 0 | |u https://doi.org/10.1016/j.eupc.2003.09.009 |y DOI |
| 856 | 4 | 0 | |u https://hdl.handle.net/20.500.12110/paper_10995129_v6_n1_p63_Albina |y Handle |
| 856 | 4 | 0 | |u https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_10995129_v6_n1_p63_Albina |y Registro en la Biblioteca Digital |
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