TECHNOLOGY AND GUIDELINES

The Newcastle protocols 2008: an update on head-up tilt table testing and the management of vasovagal syncope and related disorders

S W Parry^1,2, P Reeve¹, J Lawson¹, F E Shaw¹, J Davison¹, M Norton¹, R Frearson¹, S Kerr¹, J L Newton^1,2

¹ Falls and Syncope Service, Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne, UK
² Institute for Ageing and Health, Newcastle University, Newcastle General Hospital, Westgate Road, Newcastle upon Tyne, UK

Dr Steve W Parry, Falls and Syncope Service, Royal Victoria Infirmary, Queen Victoria Road Newcastle upon Tyne NE1 4LP, UK; steve.parry@nuth.nhs.uk

Accepted 15 July 2008

The first 150 words of the full text of this article appear below.

Since their publication in 2000, the Newcastle protocols¹ on head-up tilt testing in the diagnosis of vasovagal syncope and related disorders have provided a succinct and practical guide for those setting up and managing syncope services incorporating the investigation and management of neurally mediated disorders. In the intervening seven years our protocols have changed in line with published evidence on new methodologies and management strategies and our own clinical experience (with more than 1000 new and 3000 review patients seen each year at our specialist syncope facility), so the time is ripe for a fresh approach. Much of this information is available in a number of important papers on syncope management^2–4 and pacing indications^{5 6}; while comprehensive, these guidelines are also lengthy and inclusive of competing methodologies. They are therefore less accessible for those needing a more prescriptive and pragmatic view. The Newcastle protocols 2008 presented below provide such a . . . [Full text of this article]

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