Tilt Table Testi
Özet
Tilt table testi, uzun süredir kardiyologlar tarafından; pozisyon değişikliğine bağlı kan basıncı ve kalp hızı uyumunu incelemek, kanamaya karşı verilen tepkileri modellemek, senkop etiyolojisini belirlemek, kalıcı kalp pili tedavisi ile senkop ataklarının önlenebileceği hastaların seçiminde kullanılan, hasta açısından güvenli non-invazif bir tanı yöntemidir.
Referanslar
Kubo SH, Cody RJ. Circulatory autoregulation in chronic congestive heart failure: responses to head-up tilt in 41 patients. Am J Cardiol. 1983;52(5):512-518. doi:10.1016/0002-9149(83)90017-6
Grubb BP, Karas B. Clinical disorders of the autonomic nervous system associated with orthostatic intolerance: an overview of classification, clinical evaluation, and management. Pacing Clin Electrophysiol. 1999;22(5):798-810. doi:10.1111/j.1540-8159.1999.tb00546.x
Brignole M, Moya A, de Lange FJ, et al. 2018 ESC Guidelines for the diagnosis and management of syncope. Eur Heart J. 2018;39(21):1883-1948. doi:10.1093/eurheartj/ehy037
Kocyigit SE, Soysal P, Bulut EA, et al. What is the relationship between frailty and orthostatic hypotension in older adults?. J Geriatr Cardiol. 2019;16(3):272-279. doi:10.11909/j.issn.1671-5411.2019.03.005
De Maria B, Bari V, Cairo B, et al. Characterization of the Asymmetry of the Cardiac and Sympathetic Arms of the Baroreflex From Spontaneous Variability During Incremental Head-Up Tilt. Front Physiol. 2019;10:342. Published 2019 Apr 2. doi:10.3389/fphys.2019.00342
Rodrigues V, Gomes TF, Silva AS, et al. Platypnoea-Orthodeoxia Syndrome: An Intriguing Diagnosis. Eur J Case Rep Intern Med. 2019;6(2):001030. Published 2019 Feb 22. doi:10.12890/2019_001030
Task Force for the Diagnosis and Management of Syncope; European Society of Cardiology (ESC); European Heart Rhythm Association (EHRA); Guidelines for the diagnosis and management of syncope (version 2009). Eur Heart J. 2009;30(21):2631-2671. doi:10.1093/eurheartj/ehp298
Haines DE, Beheiry S, Akar JG, et al. Heart Rythm Society expert consensus statement on electrophysiology laboratory standards: process, protocols, equipment, personnel, and safety [published correction appears in Heart Rhythm. 2015 Jul;12(7):1703]. Heart Rhythm. 2014;11(8):e9-e51. doi:10.1016/j.hrthm.2014.03.042
Cheshire WP Jr, Goldstein DS. Autonomic uprising: the tilt table test in autonomic medicine. Clin Auton Res. 2019;29(2):215-230. doi:10.1007/s10286-019-00598-9
Heyer GL, Harvey RA, Islam MP. Signs of autonomic arousal precede tilt-induced psychogenic nonsyncopal collapse among youth. Epilepsy Behav. 2018;86:166-172. doi:10.1016/j.yebeh.2018.03.009
Stewart JM, Shaban MA, Fialkoff T, et al. Mechanisms of tilt-induced vasovagal syncope in healthy volunteers and postural tachycardia syndrome patients without past history of syncope. Physiol Rep. 2019;7(13):e14148. doi:10.14814/phy2.14148
Heyer GL. Atypical Prodromal Symptoms Help to Distinguish Patients With Psychogenic Nonsyncopal Collapse Among Youth Referred for Fainting. Pediatr Neurol. 2019;95:67-72. doi:10.1016/j.pediatrneurol.2019.02.006
Wagoner AL, Tarbell SE, Shaltout HA, et al. Chronic nausea and orthostatic intolerance: Diagnostic utility of orthostatic challenge duration, Nausea Profile Questionnaire, and neurohumoral measures. Neurogastroenterol Motil. 2018;30(11):e13433. doi:10.1111/nmo.13433
Cheshire WP Jr, Goldstein DS. Autonomic uprising: the tilt table test in autonomic medicine. Clin Auton Res. 2019;29(2):215-230. doi:10.1007/s10286-019-00598-9
Buszko K, Kujawski S, Newton JL, Zalewski P. Hemodynamic Response to the Head-Up Tilt Test in Patients With Syncope as a Predictor of the Test Outcome: A Meta-Analysis Approach. Front Physiol. 2019;10:184. Published 2019 Mar 7. doi:10.3389/fphys.2019.00184
Kim YH, Paik SH, V ZP, et al. Cerebral Perfusion Monitoring Using Near-Infrared Spectroscopy During Head-Up Tilt Table Test in Patients With Orthostatic Intolerance. Front Hum Neurosci. 2019;13:55. Published 2019 Feb 19. doi:10.3389/fnhum.2019.00055
Zysko D, Jamil RT, Anilkumar AC. Tilt Table. In: StatPearls. Treasure Island (FL): StatPearls Publishing; January 21, 2023.
Shmuely, Sharon et al. “Differentiating motor phenomena in tilt-induced syncope and convulsive seizures.” Neurology vol. 90,15 (2018): e1339-e1346. doi:10.1212/WNL.0000000000005301
Brignole M, Ammirati F, Arabia F, et al. Assessment of a standardized algorithm for cardiac pacing in older patients affected by severe unpredictable reflex syncopes. Eur Heart J. 2015;36(24):1529-1535. doi:10.1093/eurheartj/ehv069
Brignole M, Arabia F, Ammirati F, et al. Standardized algorithm for cardiac pacing in older patients affected by severe unpredictable reflex syncope: 3-year insights from the Syncope Unit Project 2 (SUP 2) study. Europace. 2016;18(9):1427-1433. doi:10.1093/europace/euv343
Sutton R, Fedorowski A, Olshansky B, et al. Tilt testing remains a valuable asset. Eur Heart J. 2021;42(17):1654-1660. doi:10.1093/eurheartj/ehab084
Sutton R, Brignole M. Twenty-eight years of research permit reinterpretation of tilt-testing: hypotensive susceptibility rather than diagnosis. Eur Heart J. 2014;35(33):2211-2212. doi:10.1093/eurheartj/ehu255
Baron-Esquivias G, Morillo CA, Moya-Mitjans A, et al. Dual-Chamber Pacing With Closed Loop Stimulation in Recurrent Reflex Vasovagal Syncope: The SPAIN Study. J Am Coll Cardiol. 2017;70(14):1720-1728. doi:10.1016/j.jacc.2017.08.026
Russo V, Rago A, De Rosa M, et al. Does cardiac pacing reduce syncopal recurrences in cardioinhibitory vasovagal syncope patients selected with head-up tilt test? Analysis of a 5-year follow-up database. Int J Cardiol. 2018;270:149-153. doi:10.1016/j.ijcard.2018.06.063
Brignole M, Russo V, Arabia F, et al. Cardiac pacing in severe recurrent reflex syncope and tilt-induced asystole. Eur Heart J. 2021;42(5):508-516. doi:10.1093/eurheartj/ehaa936
Glikson M, Nielsen JC, Kronborg MB, et al. 2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy [published correction appears in Europace. 2022 Mar 07;:]. Europace. 2022;24(1):71-164. doi:10.1093/europace/euab232
Flammang D, Church TR, De Roy L, et al. Treatment of unexplained syncope: a multicenter, randomized trial of cardiac pacing guided by adenosine 5'-triphosphate testing. Circulation. 2012;125(1):31-36. doi:10.1161/CIRCULATIONAHA.111.022855
Connolly SJ, Sheldon R, Thorpe KE, et al. Pacemaker therapy for prevention of syncope in patients with recurrent severe vasovagal syncope: Second Vasovagal Pacemaker Study (VPS II): a randomized trial. JAMA. 2003;289(17):2224-2229. doi:10.1001/jama.289.17.2224
Raviele A, Giada F, Menozzi C, et al. A randomized, double-blind, placebo-controlled study of permanent cardiac pacing for the treatment of recurrent tilt-induced vasovagal syncope. The vasovagal syncope and pacing trial (SYNPACE). Eur Heart J. 2004;25(19):1741-1748. doi:10.1016/j.ehj.2004.06.031
Referanslar
Kubo SH, Cody RJ. Circulatory autoregulation in chronic congestive heart failure: responses to head-up tilt in 41 patients. Am J Cardiol. 1983;52(5):512-518. doi:10.1016/0002-9149(83)90017-6
Grubb BP, Karas B. Clinical disorders of the autonomic nervous system associated with orthostatic intolerance: an overview of classification, clinical evaluation, and management. Pacing Clin Electrophysiol. 1999;22(5):798-810. doi:10.1111/j.1540-8159.1999.tb00546.x
Brignole M, Moya A, de Lange FJ, et al. 2018 ESC Guidelines for the diagnosis and management of syncope. Eur Heart J. 2018;39(21):1883-1948. doi:10.1093/eurheartj/ehy037
Kocyigit SE, Soysal P, Bulut EA, et al. What is the relationship between frailty and orthostatic hypotension in older adults?. J Geriatr Cardiol. 2019;16(3):272-279. doi:10.11909/j.issn.1671-5411.2019.03.005
De Maria B, Bari V, Cairo B, et al. Characterization of the Asymmetry of the Cardiac and Sympathetic Arms of the Baroreflex From Spontaneous Variability During Incremental Head-Up Tilt. Front Physiol. 2019;10:342. Published 2019 Apr 2. doi:10.3389/fphys.2019.00342
Rodrigues V, Gomes TF, Silva AS, et al. Platypnoea-Orthodeoxia Syndrome: An Intriguing Diagnosis. Eur J Case Rep Intern Med. 2019;6(2):001030. Published 2019 Feb 22. doi:10.12890/2019_001030
Task Force for the Diagnosis and Management of Syncope; European Society of Cardiology (ESC); European Heart Rhythm Association (EHRA); Guidelines for the diagnosis and management of syncope (version 2009). Eur Heart J. 2009;30(21):2631-2671. doi:10.1093/eurheartj/ehp298
Haines DE, Beheiry S, Akar JG, et al. Heart Rythm Society expert consensus statement on electrophysiology laboratory standards: process, protocols, equipment, personnel, and safety [published correction appears in Heart Rhythm. 2015 Jul;12(7):1703]. Heart Rhythm. 2014;11(8):e9-e51. doi:10.1016/j.hrthm.2014.03.042
Cheshire WP Jr, Goldstein DS. Autonomic uprising: the tilt table test in autonomic medicine. Clin Auton Res. 2019;29(2):215-230. doi:10.1007/s10286-019-00598-9
Heyer GL, Harvey RA, Islam MP. Signs of autonomic arousal precede tilt-induced psychogenic nonsyncopal collapse among youth. Epilepsy Behav. 2018;86:166-172. doi:10.1016/j.yebeh.2018.03.009
Stewart JM, Shaban MA, Fialkoff T, et al. Mechanisms of tilt-induced vasovagal syncope in healthy volunteers and postural tachycardia syndrome patients without past history of syncope. Physiol Rep. 2019;7(13):e14148. doi:10.14814/phy2.14148
Heyer GL. Atypical Prodromal Symptoms Help to Distinguish Patients With Psychogenic Nonsyncopal Collapse Among Youth Referred for Fainting. Pediatr Neurol. 2019;95:67-72. doi:10.1016/j.pediatrneurol.2019.02.006
Wagoner AL, Tarbell SE, Shaltout HA, et al. Chronic nausea and orthostatic intolerance: Diagnostic utility of orthostatic challenge duration, Nausea Profile Questionnaire, and neurohumoral measures. Neurogastroenterol Motil. 2018;30(11):e13433. doi:10.1111/nmo.13433
Cheshire WP Jr, Goldstein DS. Autonomic uprising: the tilt table test in autonomic medicine. Clin Auton Res. 2019;29(2):215-230. doi:10.1007/s10286-019-00598-9
Buszko K, Kujawski S, Newton JL, Zalewski P. Hemodynamic Response to the Head-Up Tilt Test in Patients With Syncope as a Predictor of the Test Outcome: A Meta-Analysis Approach. Front Physiol. 2019;10:184. Published 2019 Mar 7. doi:10.3389/fphys.2019.00184
Kim YH, Paik SH, V ZP, et al. Cerebral Perfusion Monitoring Using Near-Infrared Spectroscopy During Head-Up Tilt Table Test in Patients With Orthostatic Intolerance. Front Hum Neurosci. 2019;13:55. Published 2019 Feb 19. doi:10.3389/fnhum.2019.00055
Zysko D, Jamil RT, Anilkumar AC. Tilt Table. In: StatPearls. Treasure Island (FL): StatPearls Publishing; January 21, 2023.
Shmuely, Sharon et al. “Differentiating motor phenomena in tilt-induced syncope and convulsive seizures.” Neurology vol. 90,15 (2018): e1339-e1346. doi:10.1212/WNL.0000000000005301
Brignole M, Ammirati F, Arabia F, et al. Assessment of a standardized algorithm for cardiac pacing in older patients affected by severe unpredictable reflex syncopes. Eur Heart J. 2015;36(24):1529-1535. doi:10.1093/eurheartj/ehv069
Brignole M, Arabia F, Ammirati F, et al. Standardized algorithm for cardiac pacing in older patients affected by severe unpredictable reflex syncope: 3-year insights from the Syncope Unit Project 2 (SUP 2) study. Europace. 2016;18(9):1427-1433. doi:10.1093/europace/euv343
Sutton R, Fedorowski A, Olshansky B, et al. Tilt testing remains a valuable asset. Eur Heart J. 2021;42(17):1654-1660. doi:10.1093/eurheartj/ehab084
Sutton R, Brignole M. Twenty-eight years of research permit reinterpretation of tilt-testing: hypotensive susceptibility rather than diagnosis. Eur Heart J. 2014;35(33):2211-2212. doi:10.1093/eurheartj/ehu255
Baron-Esquivias G, Morillo CA, Moya-Mitjans A, et al. Dual-Chamber Pacing With Closed Loop Stimulation in Recurrent Reflex Vasovagal Syncope: The SPAIN Study. J Am Coll Cardiol. 2017;70(14):1720-1728. doi:10.1016/j.jacc.2017.08.026
Russo V, Rago A, De Rosa M, et al. Does cardiac pacing reduce syncopal recurrences in cardioinhibitory vasovagal syncope patients selected with head-up tilt test? Analysis of a 5-year follow-up database. Int J Cardiol. 2018;270:149-153. doi:10.1016/j.ijcard.2018.06.063
Brignole M, Russo V, Arabia F, et al. Cardiac pacing in severe recurrent reflex syncope and tilt-induced asystole. Eur Heart J. 2021;42(5):508-516. doi:10.1093/eurheartj/ehaa936
Glikson M, Nielsen JC, Kronborg MB, et al. 2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy [published correction appears in Europace. 2022 Mar 07;:]. Europace. 2022;24(1):71-164. doi:10.1093/europace/euab232
Flammang D, Church TR, De Roy L, et al. Treatment of unexplained syncope: a multicenter, randomized trial of cardiac pacing guided by adenosine 5'-triphosphate testing. Circulation. 2012;125(1):31-36. doi:10.1161/CIRCULATIONAHA.111.022855
Connolly SJ, Sheldon R, Thorpe KE, et al. Pacemaker therapy for prevention of syncope in patients with recurrent severe vasovagal syncope: Second Vasovagal Pacemaker Study (VPS II): a randomized trial. JAMA. 2003;289(17):2224-2229. doi:10.1001/jama.289.17.2224
Raviele A, Giada F, Menozzi C, et al. A randomized, double-blind, placebo-controlled study of permanent cardiac pacing for the treatment of recurrent tilt-induced vasovagal syncope. The vasovagal syncope and pacing trial (SYNPACE). Eur Heart J. 2004;25(19):1741-1748. doi:10.1016/j.ehj.2004.06.031
