The analysis of anamnesis and the hemodynamic response in tilting patients with recurrent syncope
Journal Title: Archives of Medical Science - Year 2005, Vol 1, Issue 4
Abstract
Introduction: Vasovagal syncope (VVS) constitutes 70% of all unexplained syncope. In this group of patients (pts.) the head-up tilt test (HUTT) is a basic diagnostic method. The aim of the study was the analysis of anamnesis and of noninvasive hemodynamical parameters (heart rate and blood pressure) in tilting patients with recurrent syncope. Material and methods: 170 patients (pts.) with history of recurrent syncope enrolled in the research. The control group comprised 19 healthy volunteers. In all the anamnesis with the specific data of syncope and HUTT in the Westminster protocol prolonged by nitroglycerin provocation were performed. All pts. were divided into the following groups according to the HUTT outcome: positive HUTT (I group) N=129; mean age 50.6±17.8 yrs, 0.37 males; and negative HUTT (II group) N=41; mean age 50.0±18.3 years, 0.56 males. In the multivariate approach the logistic regression analysis was used to identify from anamnesis and noninvasive hemodynamic parameters the most predictive factor of the positive HUTT. Results: The HUTT explained vasovagal origin of syncope in 129 pts. (76%) of the study group. Group I noted a significant increase (p
Authors and Affiliations
Małgorzata Lelonek, Jan Goch
Keywords
Related Articles
- EP ID EP149497
- DOI -
- Views 169
- Downloads 0
Adenosine and neutrophil CD11b/CD62L and oxidative burst in stable ischemic heart disease
Objectives: The immune response to endogenous as well exogenous stimuli is modified by various factors including drugs. Adenosine is an endogenous nucleotide involved in cellular energy metabolism. Adenosine receptors ma...
Sudden infant death syndrome, prematurity and sleeping position
Sudden infant death syndrome (SIDS), an unexpected death of an infant which remains unexplained after a thorough investigation, is the commonest cause of postneonatal mortality in the developed world. Prematurely born in...
Reference curves of anthropometric indices and serum lipid profiles in representative samples of Asian and European children
Arachidonic acid metabolism in TNF, CD178 (CD95 ligand) and ceramide-mediated cytotoxicity
Introduction: Arachidonic acid release has been reported to play a significant role in TNF-induced cytotoxicity. However, the role of this signalling cascade in CD178-(CD95 ligand)mediated cytotoxicity remains unclear. T...
The effect of monosodium glutamate on the apoptosis of rat thymocytes and Bcl-2 protein expression
Introduction: Monosodium glutamate (MSG) is the sodium salt of glutamic acid widely spread in modern nutrition. Numerous recent studies have shown the existance of glutamic receptors on different non-neuronal cells, whic...