Vasovagal Syncope: To Tilt or Not to Tilt?

  • R. Sutton


Tilt testing for the investigation of the clinical problem of syncope was introduced in the mid 1980s [1,2]. It represented an advance in the approach to this clinical arena, which had always offered serious challenges to physicians, because it became possible to reproduce the patient’s symptoms in front of the clinician. Furthermore, this gave an opportunity for monitoring of many physiological variables allowing greater understanding of the mechanism of vasovagal syncope, if not its trigger. Syncope is an infrequent event for most sufferers, once per month can be considered often, implying that it is extremely difficult to observe an attack by any type of monitor. Herein lies the value of tilt testing but more than 10 years of clinical experience have placed its benefits in perspective and, as other clinical tests, it is not perfect.


Tilt Testing Vasovagal Syncope Tilt Table Testing Drug Challenge Unexplained Syncope 
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Copyright information

© Springer-Verlag Italia 1998

Authors and Affiliations

  • R. Sutton
    • 1
  1. 1.Pacing and ElectrophysiologyRoyal Brompton HospitalLondonUK

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