NYMC Faculty Publications
Tilt Testing Remains a Valuable Asset
Author Type(s)
Faculty
Journal Title
European Heart Journal
First Page
1654
Last Page
1660
Document Type
Article
Publication Date
5-1-2021
Department
Pediatrics
Abstract
Head-up tilt test (TT) has been used for >50 years to study heart rate/blood pressure adaptation to positional changes, to model responses to haemorrhage, to assess orthostatic hypotension, and to evaluate haemodynamic and neuroendocrine responses in congestive heart failure, autonomic dysfunction, and hypertension. During these studies, some subjects experienced syncope due to vasovagal reflex. As a result, tilt testing was incorporated into clinical assessment of syncope when the origin was unknown. Subsequently, clinical experience supports the diagnostic value of TT. This is highlighted in evidence-based professional practice guidelines, which provide advice for TT methodology and interpretation, while concurrently identifying its limitations. Thus, TT remains a valuable clinical asset, one that has added importantly to the appreciation of pathophysiology of syncope/collapse and, thereby, has improved care of syncopal patients.
Recommended Citation
Sutton, R., Fedorowski, A., Olshansky, B., Gert van Dijk, J., Abe, H., Brignole, M., de Lange, F., Kenny, R., Lim, P., Moya, A., Rosen, S. D., Russo, V., Stewart, J. M., Thijs, R. D., & Benditt, D. G. (2021). Tilt Testing Remains a Valuable Asset. European Heart Journal, 42 (17), 1654-1660. https://doi.org/10.1093/eurheartj/ehab084
