Prolonged asystole induced by head up tilt test. Report of four cases and brief review of the prognostic significance and medical management.
Department of Medical Cardiology, Glasgow Royal Infirmary, United Kingdom.
Head up tilt is an established test for assessing patients with vasovagal syncope. Prolonged asystole during the test has previously been reported in patients suffering from the malignant form of this syndrome. Little is known about the prognostic significance of this response and there is no consensus about the optimum treatment. Four such patients are reported who were treated pharmacologically. During follow up they remained free from major events and their symptoms were well controlled. Conservative management is the initial method of choice and only if this fails should implantation of a dual chamber permanent pacemaker be considered.
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
This article has been cited by other articles:
-
Wieling, W., Thijs, R. D., van Dijk, N., Wilde, A. A. M., Benditt, D. G., van Dijk, J. G.
(2009). Symptoms and signs of syncope: a review of the link between physiology and clinical clues. Brain
132: 2630-2642
[Abstract] [Full Text] -
Leftheriotis, D. I., Theodorakis, G. N., Kremastinos, D. Th.
(2003). Prolonged asystole during head-up tilt testing with clomipramine infusion. Europace
5: 313-315
[Abstract] [Full Text] -
Raviele, A.
(2002). Tilt-induced asystole: a useful prognostic marker or clinically unrelevant finding?. Eur Heart J
23: 433-437
[Full Text] -
SMITH, W.
(1998). Malignant vasovagal syncope: a randomised trial of metoprolol and clonidine. Heart
79: 105-105
[Full Text]
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
- Citation Map
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
