Clinical characteristics and tilt test of patients with vasovagal syncope suspicion

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Background: Vasovagal syncope is the most common cause of syncope and is an amount medical, social and economic problem.Material and methods: We study a population of patients with history of syncope of presumed vasovagal origin submitted to head-up tilt test (TT) with intention to describe and to c...

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Autores principales: Contreras, Alejandro E., Morillo, David A., Brenna, Eduardo J., Bagur, Rodrigo H., Caeiro, Andrés A.
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2009
Materias:
neurocardiogenic
syncope
vasovagal
head-up tilt test
symptoms
sincope
neurocardiogenico
tilt test
síntomas
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/23502
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Revistas de la UNC de Universidad Nacional de Córdoba
id I10-R10-article-23502
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spelling I10-R10-article-235022019-05-20T10:46:14Z Clinical characteristics and tilt test of patients with vasovagal syncope suspicion Características clínicas y tilt test de pacientes con sospecha de sincope vasovagal Contreras, Alejandro E. Morillo, David A. Brenna, Eduardo J. Bagur, Rodrigo H. Caeiro, Andrés A. neurocardiogenic syncope vasovagal head-up tilt test symptoms sincope neurocardiogenico vasovagal tilt test síntomas Background: Vasovagal syncope is the most common cause of syncope and is an amount medical, social and economic problem.Material and methods: We study a population of patients with history of syncope of presumed vasovagal origin submitted to head-up tilt test (TT) with intention to describe and to compare symptoms, signs and trigger situations between positive and negative TT. Twenthy four variables were investigated (chosen according to the clinical experience). Results: One hundred thirteen patients were included. The age mean was 33,3 ±19,4 years and 67.3% corresponded to women. Eigthy one patients (71,7%) experienced syncope during test. The more frequent response was mixed subtype (58%), followed by vasodepressor response (30,9%) and cardioinhibitory response (11,1%). There were not significant differences between both groups in symptoms, signs and trigger situations. In patients with negative TT was more frecuent syncopes triggered by extreme exercise (p = 0,012).Conclusion: In patients with vasovagal syncope suspicion, a clinic history does not predict TT results. Antecedentes: El síncope vasovagal es la causa más común de síncope y es un importe problema médico, social y económico. Material y métodos: Estudiamos una población de pacientes con antecedentes de síncope de presunto origen vasovagal sometidos a Tilt Test (TT) con la intención de describir y comparar síntomas, signos y situaciones desencadenantes entre pacientes con TT positivo y negativo. Se investigaron 24 variables (elegidas según la experiencia clínica).Resultados: Se incluyeron 113 pacientes. El promedio de edad fue de 33,3 ± 19,4 años y el 67,3% correspondía a mujeres. Ochenta y un pacientes (71,7 %) experimentaron síncope durante la prueba. El tipo de respuesta más frecuente fue la mixta (58 %), seguida de la vasodepresora (30,9 %) y la cardioinhibitoria (11,1 %). No se encontraron diferencias significativas entre ambos grupos en los síntomas y signos previos, tampoco en relación a las situaciones desencadenantes, salvo que en el grupo con TT negativo hubo mayor frecuencia de episodios sincopales previos desencadenados luego de un ejercicio vigoroso (p = 0,012).Conclusión: En pacientes con sospecha de sincope vasovagal, la historia clínica no predice el resultado del Tilt test Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2009-07-25 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/23502 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 66 No. 2 (2009); 58-65 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 66 Núm. 2 (2009); 58-65 Revista da Faculdade de Ciências Médicas de Córdoba; v. 66 n. 2 (2009); 58-65 1853-0605 0014-6722 10.31053/1853.0605.v66.n2 spa https://revistas.unc.edu.ar/index.php/med/article/view/23502/23226 Derechos de autor 2019 Universidad Nacional de Córdoba
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-10
container_title_str Revistas de la UNC
language Español
format Artículo revista
topic neurocardiogenic
syncope
vasovagal
head-up tilt test
symptoms
sincope
neurocardiogenico
vasovagal
tilt test
síntomas
spellingShingle neurocardiogenic
syncope
vasovagal
head-up tilt test
symptoms
sincope
neurocardiogenico
vasovagal
tilt test
síntomas
Contreras, Alejandro E.
Morillo, David A.
Brenna, Eduardo J.
Bagur, Rodrigo H.
Caeiro, Andrés A.
Clinical characteristics and tilt test of patients with vasovagal syncope suspicion
topic_facet neurocardiogenic
syncope
vasovagal
head-up tilt test
symptoms
sincope
neurocardiogenico
vasovagal
tilt test
síntomas
author Contreras, Alejandro E.
Morillo, David A.
Brenna, Eduardo J.
Bagur, Rodrigo H.
Caeiro, Andrés A.
author_facet Contreras, Alejandro E.
Morillo, David A.
Brenna, Eduardo J.
Bagur, Rodrigo H.
Caeiro, Andrés A.
author_sort Contreras, Alejandro E.
title Clinical characteristics and tilt test of patients with vasovagal syncope suspicion
title_short Clinical characteristics and tilt test of patients with vasovagal syncope suspicion
title_full Clinical characteristics and tilt test of patients with vasovagal syncope suspicion
title_fullStr Clinical characteristics and tilt test of patients with vasovagal syncope suspicion
title_full_unstemmed Clinical characteristics and tilt test of patients with vasovagal syncope suspicion
title_sort clinical characteristics and tilt test of patients with vasovagal syncope suspicion
description Background: Vasovagal syncope is the most common cause of syncope and is an amount medical, social and economic problem.Material and methods: We study a population of patients with history of syncope of presumed vasovagal origin submitted to head-up tilt test (TT) with intention to describe and to compare symptoms, signs and trigger situations between positive and negative TT. Twenthy four variables were investigated (chosen according to the clinical experience). Results: One hundred thirteen patients were included. The age mean was 33,3 ±19,4 years and 67.3% corresponded to women. Eigthy one patients (71,7%) experienced syncope during test. The more frequent response was mixed subtype (58%), followed by vasodepressor response (30,9%) and cardioinhibitory response (11,1%). There were not significant differences between both groups in symptoms, signs and trigger situations. In patients with negative TT was more frecuent syncopes triggered by extreme exercise (p = 0,012).Conclusion: In patients with vasovagal syncope suspicion, a clinic history does not predict TT results.
publisher Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2009
url https://revistas.unc.edu.ar/index.php/med/article/view/23502
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first_indexed 2022-08-20T01:26:19Z
last_indexed 2022-08-20T01:26:19Z
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