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- Title
Correlation of head-up tilt table test time interval with future risk of recurrent syncope.
- Authors
Singhania, Priti K; Ranwa, Bhanwar L.; Gupta, Sajal
- Abstract
Background Head-up tilt table test (HUTT) is widely used for the investigation of syncope and presyncope. Time required for positive response has a probable relationship to the sensitivity of neural reflex mechanism underlying syncope. Methods We evaluated patients with history of syncope. Group A included patients with recurrent syncope defined as two or more episodes of syncope and group B included those with one episode of syncope. Time required for the test to become positive in both the groups was analyzed. Patients with positive HUTT were followed for 1 year. Results Of 80 patients, 68 eligible study patients were divided into group A (32.35%) and group B (67.65%). HUTT was positive in 41 patients (positivity rate = 60.29%). Positivity rate was 100% in group A and 41.3% in group B. Median time interval for positive response in groups A and B were 12.5 and 30.0 minutes, respectively. An inverse association was found between recurrent syncope and time interval for positive response (R = − 0.282, P = 0.002). Time interval of less than 19.5 minutes for positive response had 94.5% sensitivity and 97.89% specificity for recurrent syncope. On follow-up, positive association was found between time interval for positive response less than 19.5 minutes and future recurrence of syncope (odds ratio = 22.75, 95% confidence interval = 4.37-118.34, P = 0.000). Conclusion HUTT time interval of less than 19.5 minutes for positive response predicted future recurrence of syncope. Hence, it may serve as an important predictor of future recurrence of syncope.
- Subjects
CONFIDENCE intervals; STATISTICAL correlation; PATIENT positioning; SYNCOPE; DISEASE relapse; ODDS ratio
- Publication
Pacing & Clinical Electrophysiology, 2017, Vol 40, Issue 12, p1462
- ISSN
0147-8389
- Publication type
Article
- DOI
10.1111/pace.13219