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Common patterns of response to the head-up tilt test in children and adolescents

Published online by Cambridge University Press:  20 November 2006

Arnulf Boysen
Affiliation:
Centre for Congenital Heart Disease, Klinikum Stuttgart Olgahospital, Germany
Martin A.G. Lewin
Affiliation:
Centre for Congenital Heart Disease, Klinikum Stuttgart Olgahospital, Germany
Frank Uhlemann
Affiliation:
Centre for Congenital Heart Disease, Klinikum Stuttgart Olgahospital, Germany

Abstract

Testing using the head-up tilt table is performed regularly as a diagnostic tool in the evaluation of syncope. Recommendations for protocols, and interpretation of the results, however, are mainly based on experience in adults. We evaluated the results of tilt table testing in 100 consecutive children and adolescents aged from 6 to 18 years and referred for investigation of syncope. Over half the patients, 55%, proved impossible to classify using the criterions established by the European Society of Cardiology. Based on our data, we propose a modified classification for responses to tilt table testing in the young.

Type
Original Article
Copyright
© 2006 Cambridge University Press

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