Head-up Tilt for the Evaluation of Syncope of Unknown Origin in Children

Overview

Journal J Pediatr

Specialty Pediatrics

Date 1991 May 1

PMID 2019920

Citations 6

Authors

T Lerman-Sagie

E Rechavia

B Strasberg

A Sagie

L Blieden

M Mimouni

Affiliations

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Abstract

Fifteen patients aged 10 to 18 years with syncope of unknown origin, and 10 healthy control children aged 11 to 18 years, were evaluated by head-up tilt to 60 degrees for 60 minutes. Six patients (43%) reproduced symptoms of syncope during the examination. Four had a typical vasovagal reaction; two had marked hyperventilation. None of the children in the control group had syncope. The head-up tilt test offers a simple, noninvasive, high-yielding diagnostic tool for evaluation of syncope in children.

Citing Articles

Syncope in children and adolescents: Evaluation and treatment.

Cote J Paediatr Child Health. 2010; 6(8):549-51.

PMID: 20084125 PMC: 2805591. DOI: 10.1093/pch/6.8.549.

Usefulness of the head-up tilt test in distinguishing neurally mediated syncope and epilepsy in children aged 5-20 years old.

Sabri M, Mahmodian T, Sadri H Pediatr Cardiol. 2006; 27(5):600-3.

PMID: 16933068 DOI: 10.1007/s00246-006-1140-7.

Gender differences in cerebral blood flow velocity and autoregulation between the anterior and posterior circulations in healthy children.

Vavilala M, Kincaid M, Muangman S, Suz P, Rozet I, Lam A Pediatr Res. 2005; 58(3):574-8.

PMID: 16148076 PMC: 1361350. DOI: 10.1203/01.PDR.0000179405.30737.0F.

The Newcastle protocols for head-up tilt table testing in the diagnosis of vasovagal syncope, carotid sinus hypersensitivity, and related disorders.

Kenny R, OShea D, Parry S Heart. 2000; 83(5):564-9.

PMID: 10768910 PMC: 1760829. DOI: 10.1136/heart.83.5.564.

Head-up tilt test: a highly sensitive, specific test for children with unexplained syncope.

Alehan D, Celiker A, Ozme S Pediatr Cardiol. 1996; 17(2):86-90.

PMID: 8833492 DOI: 10.1007/BF02505089.