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European Heart Journal 2002 23(6):433-437; doi:10.1053/euhj.2001.3018
Copyright © 2002 by the European Society of Cardiology.
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Editorials

Tilt-induced asystole: a useful prognostic marker or clinically unrelevant finding?

A. Raviele

Cardiovascular Department, Umberto I Hospital, Venice-Mestre, Italy

References

  1. Alboni P, Brignole M, Menozzi C. Diagnostic value of history in patients with syncope with or without heart disease. J Am Coll Cardiol. 2001;37:1921–1928[Abstract/Free Full Text]
  2. Brignole M, Alboni P, Benditt D. Guidelines on management (diagnosis and treatment) of syncope. Eur Heart J. 2001;22:1256–1306[Abstract/Free Full Text]
  3. Raviele A, Themistoclakis S, Gasparini G. Methodology of head-up tilt test: what is the sensitivity and specifity of the different protocols? Raviele A. Cardiac Arrhythmias 1995. Milan: Springer; 1995. p. 116
  4. Benditt D, Ferguson D, Grubb B. Tilt table testing for assessing syncope. J Am Coll Cardiol. 1996;28:263–275[CrossRef][Web of Science][Medline]
  5. Raviele A, Menozzi C, Brignole M. Value of head-up tilt testing potentiated with sublingual nitroglycerin to assess the origin of unexplained syncope. Am J Cardiol. 1995;76:267–272[CrossRef][Web of Science][Medline]
  6. Del Rosso A, Bartoli P, Bartoletti A. Shortened head-up tilt testing potentiated with sublingual nitroglycerin in patients with unexplained syncope. Am Heart J. 1998;135:564–570[CrossRef][Web of Science][Medline]
  7. Bartoletti A, Alboni P, Ammirati F. ‘The Italian Protocol’: a simplified head-up tilt testing potentiated with oral nitroglycerin to assess patients with unexplained syncope. Europace. 2000;2:339–342[Abstract/Free Full Text]
  8. Morillo C, Klein G, Zandri S, Yee R. Diagnostic accuracy of low-dose isoproterenol head-up tilt protocol. Am Heart J. 1995;129:901–906[CrossRef][Web of Science][Medline]
  9. Natale A, Akhtar M, Jazayeri M. Provocation of hypotension during head-up tilt testing in subjects with no history of syncope or presycope. Circulation. 1995;92:54–58[Abstract/Free Full Text]
  10. Raviele A, Giada F, Brignole M. Comparison of diagnostic accuracy of sublingual nitroglycerin test and low-dose isoproterenol test in patients with unexplained syncope. Am J Cardiol. 2000;85:1194–1198[CrossRef][Web of Science][Medline]
  11. Engel GL. Psychologic stress, vasodepressor (vasovagal) syncope, and sudden death. Ann Intern Med. 1978;89:403–412[Abstract/Free Full Text]
  12. Raviele A, Themistoclakis S, Gasparini G. Drug treatment of vasovagal syncope. Blanc JJ, Benditt D, Sutton R. Neurally mediated syncope: pathophysiology, investigations, and treatment. Armonk: Futura Publishing; 1996. p. 113
  13. Bloomfield D, Sheldon R, Grubb B, Calkins H, Sutton R. Putting it together: a new treatment algorithm for vasovagal syncope and related disorders. Am J Cardiol. 1999;84:33Q–39Q[Web of Science][Medline]
  14. Ammirati F, Colivicchi F, Velardi A, Santini M. Prevalence and correlates of syncope-related traumatic injuries in tilt-induced vasovagal syncope. Ital Heart J. 2001;2:38–41[Medline]
  15. Milstein S, Buetikofer J, Lesser J. Cardiac asystole: A manifestation of neurally mediated hypotension-bradycardia. J Am Coll Cardiol. 1989;14:1626–1632[Abstract]
  16. Grubb B, Temesy-Armos P, Moore J, Wolfe D, Hahn H, Elliot L. Head-upright tilt-table testing in evaluation and management of the malignant vasovagal syndrome. Am J Cardiol. 1992;69:904–908[CrossRef][Web of Science][Medline]
  17. Oslizlok P, Allen M, Griffin M, Gillette P. Clinical features and management of young patients with cardioinhibitory response during orthostatic testing. Am J Cardiol. 1992;69:363–365
  18. Maloney J, Jaeger F, Fouad-Tarazi F, Morris H. Malignant vasovagal syncope: prolonged asystole provoked by head-up tilt. Cleve Clin J Med. 1988;55:542–548[Web of Science][Medline]
  19. Fitzpatrick A, Theodorakis G, Vardas P. The incidence of malignant vasovagal syndrome in patients with recurrent syncope. Eur Heart J. 1991;12:389–394[Abstract/Free Full Text]
  20. Raviele A, Brignole M, Sutton R. Effect of etilefrine in preventing syncopal recurrence in patients with vasovagal syncope. A double-blind, randomised, placebo-controlled trial. Circulation. 1999;99:1452–1457[Abstract/Free Full Text]
  21. Benditt D. Neurally mediated syncopal syndromes: pathophysiological concepts and clinical evaluation. PACE. 1997;20:572–584
  22. Epstein S, Beiser G, Stampfer M, Braunwald E. Role of the venous system in baroreceptor mediated reflexes in man. J Clin Invest. 1968;47:139–152[Medline]
  23. Thören P. The role of cardiac C fibers in cardiovascular control. Rev Physiol Biochem Pharmacol. 1979;86:1–94[Medline]
  24. Waxman M, Yao L, Cameron D, Wald R, Roseman J. Isoproterenol induction of vasodepressor-type reaction in vasodepressor-prone persons. Am J Cardiol. 1989;63:58–65[CrossRef][Web of Science][Medline]
  25. Raviele A, Gasparini G, Di Pede F, Delise P, Bonso A, Piccolo E. Usefulness of head-up tilt test in evaluating patients with syncope of unknown origin and negative electrophysiologic study. Am J Cardiol. 1990;65:1322–1327[CrossRef][Web of Science][Medline]
  26. Barón-Esquivias G, Pedrote A, Cayuela A. Long-term outcome of patients with asystole induced by head-up tilt test. Eur Heart J. 2002;23:483–489[Abstract/Free Full Text]
  27. Folino A, Buja GF, Martini B, Miorelli M, Nava A. Prolonged cardiac arrest and complete AV block during upright tilt test in young patients with syncope of unknown origin— prognostic and therapeutic implications. Eur Heart J. 1992;13:1416–1421[Abstract/Free Full Text]
  28. Brignole M, Menozzi C, Gianfranchi L, Bottoni N, Lolli G. The clinical and prognostic significance of the asystolic response during the head-up tilt test. Eur J C P E. 1992;2:109–113
  29. Dhala A, Natale A, Sra J. Relevance of asystole during head-up tilt testing. Am J Cardiol. 1995;75:251–254[CrossRef][Web of Science][Medline]
  30. Lacroix D, Kouakam C, Klug D. Asystolic cardiac arrest during head-up tilt test: incidence and therapeutic implications. PACE. 1997;20:2746–2754
  31. Pentousis D, Cooper J, Cobbe S. Prolonged asystole induced by head up tilt test. Report of four cases and brief review of the prognostic significance and medical management. Heart. 1997;77:273–275[Abstract/Free Full Text]
  32. Natale A, Beheiry S, Wase A. Occurrence of clinical asystole in patients without evidence of structural heart disease: response to tilt test and follow-up. Circulation. 1999;100:I-245
  33. Fitzpatrick A, Sutton R. Tilting towards a diagnosis in recurrent unexplained syncope. Lancet. 1989;1:658–660[Web of Science][Medline]
  34. Strasberg B, Rechavia E, Sagie A. The head-up tilt table test in patients with syncope of unknown origin. Am Heart J. 1989;118:923–926[CrossRef][Web of Science][Medline]
  35. Jaeger F, Schneider L, Maloney J, Cruse R, Fouad-Tarazi F. Vasovagal syncope: diagnostic role of head-up tilt test in patients with positive ocular compression test. PACE. 1990;13:1416–1423
  36. Pongiglione G, Fish F, Strasburger J, Benson W. Heart rate and blood pressure response to upright tilt in young patients with unexplained syncope. J Am Coll Cardiol. 1990;16:165–170[Abstract]
  37. Sra J, Anderson A, Sheikh S. Unexplained syncope evaluated by electrophysiologic studies and head-up tilt testing. Ann Int Med. 1991;144:1013–1019
  38. Brignole M, Menozzi C, Gianfranchi L, Oddone D, Lolli G, Bertulla A. Carotid sinus massage, eyeball compression, and head-up tilt test in patients with syncope of uncertain origin and healthy control subjects. Am Heart J. 1991;122:1644–1651[CrossRef][Web of Science][Medline]
  39. Cicogna R, Bonomi F, Mascioli G. Profilo emodinamico e neuroendocrino di due distinte risposte cardiovascolari nella sincope vasodepressiva indotta da head-up tilt test. G Ital Cardiol. 1992;22:1367–1379[Medline]
  40. Raviele A, Gasparini G, Di Pede F. Nitroglycerin infusion during upright tilt: a new test for the diagnosis of vasovagal syncope. Am Heart J. 1994;127:103–111[CrossRef][Web of Science][Medline]
  41. Aerts A, Dendale P, Strobel G, Block P. Sublingual nitrates during head-up tilt testing for the diagnosis of vasovagal syncope. Am Heart J. 1997;133:504–507[CrossRef][Web of Science][Medline]
  42. Ammirati F, Colivicchi F, Biffi A, Magris 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. Am Heart J. 1998;135:671–676[CrossRef][Web of Science][Medline]
  43. Aerts AJ, Dendale P, Daniels C. Intravenous nitrates for pharmacological stimulation during head-up tilt testing in patients with suspected vasovagal syncope and healthy controls. PACE. 1999;22:1593–1598
  44. Van de Walle J, Panagides D, Messier M. Tilt table testing of young adult patients: improved speed and sensitivity using an isoproterenol bolus and a continuous 60° tilt. PACE. 1998;21:494–498
  45. Foglia-Manzillo G, Giada F, Beretta S, Corrado G, Santarone M, Raviele A. Reproducibility of head-up tilt testing potentiated with sublingual nitroglycerin in patients with unexplained syncope. Am J Cardiol. 1999;84:284–288[CrossRef][Web of Science][Medline]
  46. Menozzi C, Brignole M, Lolli G. Follow-up of asystolic episodes in patients with cardioinhibitory, neurally mediated syncope and VVI pacemaker. Am J Cardiol. 1993;72:1152–1155[CrossRef][Web of Science][Medline]
  47. Moya A, Brignole M, Menozzi C. Mechanism of syncope in patients with isolated syncope and in patients with tilt-positive syncope. Circulation. 2001;104:1261–1267[Abstract/Free Full Text]
  48. Kurbaan A, Franzen A, Heaven D. Cardioinhibition during tilt testing identifies patients who may benefit from pacing. PACE. 2000;23:1792–1794
  49. Connolly S, Sheldon R, Roberts R, Gent M. The North American Vasovagal Pacemaker Study (VPS). A randomized trial of permanent cardiac pacing for the prevention of vasovagal syncope. J Am Coll Cardiol. 1999;33:16–20[Abstract/Free Full Text]
  50. Sutton R, Brignole M, Menozzi C. Dual-chamber pacing in the treatment of neurally mediated tilt-positive cardioinhibitory syncope. Pacemaker versus no therapy: a multicenter randomized study. Circulation. 2001;102:294–299
  51. Ammirati F, Colivicchi F, Santini M. Permanent cardiac pacing versus medical treatment for the prevention of recurrent vasovagal syncope. Circulation. 2001;104:52–57[Abstract/Free Full Text]
  52. Benditt D. Cardiac pacing for the prevention of vasovagal syncope. J Am Coll Cardiol. 1999;33:21–23[Free Full Text]

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This Article
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