Prolonged asystole provoked by head-up tilt testing. Export

@article{citeulike:1649405, abstract = {We describe a patient with a history of neurocardiogenic syncopes who had a positive headup tilt test that resulted in an lasting asystole lasting 34 seconds. However, the previously carried out Schellong test with a 30-min phase of standing showed a normal result. The patient showed typical orthostatic symptoms while tilted at the angle of 75 degrees. Shortly before asystole occurred, heart rate variability showed high frequency bands, indicating vagal stimulation. The pathophysiology of neurocardiogenic syncope (NCS) in context with heart rate variability is discussed.This patient was successfully treated with propranolol. This case shows the utility of a provocative head-up tilt test in establishing the diagnosis of NCS. If the Schellong test is normal, still further examination by tilt-table test is indispensable.}, address = {Division of Occupational Medicine, Medical University of Vienna, W\"{a}hringer G\"{u}rtel 18-20, 1090 Vienna, Austria. robert.winker@meduniwien.ac.at}, author = {Winker, R. and Fr\"{u}hwirth, M. and Saul, P. and R\"{u}diger, H. W. and Pezawas, T. and Schmidinger, H. and Moser, M.}, citeulike-article-id = {1649405}, citeulike-linkout-0 = {http://dx.doi.org/10.1007/s00392-006-0310-1}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/16598444}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=16598444}, doi = {10.1007/s00392-006-0310-1}, issn = {1861-0684}, journal = {Clin Res Cardiol}, keywords = {complication, diagnosis, syncope, ttt}, month = {January}, number = {1}, pages = {42--47}, posted-at = {2007-09-12 22:32:41}, priority = {2}, title = {Prolonged asystole provoked by head-up tilt testing.}, url = {http://dx.doi.org/10.1007/s00392-006-0310-1}, volume = {95}, year = {2006} }

TY - JOUR ID - citeulike:1649405 L3 - citeulike-article-id:1649405 N2 - We describe a patient with a history of neurocardiogenic syncopes who had a positive headup tilt test that resulted in an lasting asystole lasting 34 seconds. However, the previously carried out Schellong test with a 30-min phase of standing showed a normal result. The patient showed typical orthostatic symptoms while tilted at the angle of 75 degrees. Shortly before asystole occurred, heart rate variability showed high frequency bands, indicating vagal stimulation. The pathophysiology of neurocardiogenic syncope (NCS) in context with heart rate variability is discussed.This patient was successfully treated with propranolol. This case shows the utility of a provocative head-up tilt test in establishing the diagnosis of NCS. If the Schellong test is normal, still further examination by tilt-table test is indispensable. IS - 1 JF - Clin Res Cardiol SN - 1861-0684 AD - Division of Occupational Medicine, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria. robert.winker@meduniwien.ac.at EP - 47 TI - Prolonged asystole provoked by head-up tilt testing. VL - 95 SP - 42 KW - complication KW - diagnosis KW - syncope KW - ttt AU - Winker, R AU - Frühwirth, M AU - Saul, P AU - Rüdiger, HW AU - Pezawas, T AU - Schmidinger, H AU - Moser, M PY - 2006/01// UR - http://dx.doi.org/10.1007/s00392-006-0310-1 ER -