Advertisement

Invasive Tilt Testing: The Search for a New Sensor To Permit Earlier Pacing Therapy in Vasovagal Syncope

  • R. Sutton
  • M. E. V. Petersen
Conference paper

Abstract

Vasovagal syncope is the most common form of syncope. Few patients require any therapy but a small minority present with major symptoms which include complications of syncope, such as incontinence of urine and epileptiform seizures and, when studied, they show an important element of cardioinhibition. Older patients with this severe type, which has been called malignant vasovagal syncope (1) may experience little or no warning of the impending attack and, as a result, may be unable to avoid falling and receiving injuries. This group represents approximately 3% of patients for whom pacing is indicated (2).

Keywords

Tilt Test Cardiac Pace Vasovagal Syncope Pace Rate Trigger Rate 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Sutton R (1992) Vasovagal syndrome — could it be malignant? Eur J Cardiac Pacing Electrophysiol 2: 89Google Scholar
  2. 2.
    Petersen MEV, Chamberlain-Webber R, Fitzpatrick AP, Ingram A, Williams T, Sutton R (1994) Permanent pacing for cardioinhibitory malignant vasovagal syndrome. Br Heart J 71: 274–281PubMedCrossRefGoogle Scholar
  3. 3.
    Petersen MEV, Price D, Williams T et al (1994) Short AV delay VDD pacing does not prevent vasovagal syncope in patients with cardioinhibitory vasovagal syndrome. PACE 17: 882–891PubMedCrossRefGoogle Scholar
  4. 4.
    Fitzpatrick A, Williams T, Ahmed R, Lightman S, Bloom SR, Sutton R (1992) Echocardiographic and endocrine changes during vasovagal syncope induced by prolonged head-up tilt. Eur J Cardiac Pacing Electrophysiol 2: 121–128Google Scholar
  5. 5.
    Sander-Jensen K, Secher NH, Astrup A et al (1986) Hypotension induced by passive head-up tilt: endocrine and circulatory mechanisms. Am J Physiol 251: R743 - R749Google Scholar
  6. 6.
    Heynen H, Sharma A, Sutton R, Camm AJ, Ovsyshcher I, Naslund U, Gillis AM, Clarke M, Ruiter J, Brachmann J, Schallhorn R, Bennett T (1991) Clinical experience with VVIR pacing based on right ventricular dp/dt. Eur J Cardiac Pacing Electrophysiol 1: 138–146Google Scholar
  7. 7.
    Petersen M, Hess M, Markowitz T, Jensen N, Biallas R, van Bergen R, Sutton R (1995) Acute human investigation of an algorithm to treat vasovagal syncope using a computer based simulator. PACE 18: 825 (abstr)Google Scholar
  8. 8.
    Petersen M, Fitzpatrick A, Chamberlain-Webber R, Sutton R (1992) A clinical experience of the Westminster tilt test protocol. Eur J Card Pacing Electrophysiol 2 [Suppl 1A]: A135 (abstr)Google Scholar
  9. 9.
    Sheldon R, Splawinski J, Killam S (1992) Reproducibility of isoproterenol tilt-table tests in patients with syncope. Am J Cardiol 69: 1300–1305PubMedCrossRefGoogle Scholar
  10. 10.
    Grubb BP, Wolfe DA, Temesy-Armos PN et al (1992) Reproducibility of head-upright tilt test results in patients with syncope. PACE 15: 1477–1481PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia, Milano 1996

Authors and Affiliations

  • R. Sutton
    • 1
  • M. E. V. Petersen
    • 1
  1. 1.Cardiology DepartmentsRoyal Brompton and Chelsea and Westminster HospitalsLondonUK

Personalised recommendations