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Relationship between syncopal symptoms and head-up tilt test modes.
Wang, Shuo; Peng, Yali; Wang, Yuwen; Li, Fang; Xu, Yi; Zheng, Huifen; Yuan, Heli; Hu, Chunyan; Liao, Donglei; Cai, Hong; Zhang, Juan; Li, Wen; Ding, Yiyi; Zhang, Wenhua; Xue, Xiaohong; Liu, Xiaoyan; Zhu, Liping; Liu, Deyu; Kang, Meihua; Liu, Liping; Chu, Weihong; Li, Xiaoming; Luo, Xuemei; Zou, Runmei; Wang, Cheng.
Affiliation
  • Wang S; Department of Pediatrics, Xiangya Hospital, Central South University, Changsha, China.
  • Peng Y; Department of Pediatric Cardiovasology, Children's Medical Center, The Second Xiangya Hospital, Central South University, Changsha, China.
  • Wang Y; Section of Science and Education, The First People's Hospital of Changde City, Changde, China.
  • Li F; Department of Pediatric Cardiovasology, Children's Medical Center, The Second Xiangya Hospital, Central South University, Changsha, China.
  • Xu Y; Department of Pediatric Cardiovasology, Children's Medical Center, The Second Xiangya Hospital, Central South University, Changsha, China.
  • Zheng H; Department of Pediatric Cardiovasology, Children's Medical Center, The Second Xiangya Hospital, Central South University, Changsha, China.
  • Yuan H; Department of Pediatric Cardiovasology, Children's Medical Center, The Second Xiangya Hospital, Central South University, Changsha, China.
  • Hu C; Department of Pediatrics, Shenzhen People's Hospital, Shenzhen, China.
  • Liao D; Department of Pediatric Cardiovasology, Children's Medical Center, The Second Xiangya Hospital, Central South University, Changsha, China.
  • Cai H; Department of Pediatrics, North China University of Science and Technology Affiliated Hospital, Tangshan, China.
  • Zhang J; Department of Pediatric Cardiovasology, Children's Medical Center, The Second Xiangya Hospital, Central South University, Changsha, China.
  • Li W; Department of Pediatrics, The Second Affiliated Hospital, University of South China, Hengyang, China.
  • Ding Y; Department of Pediatrics, Xiangya Hospital, Central South University, Changsha, China.
  • Zhang W; Department of Pediatric Cardiovasology, Children's Medical Center, The Second Xiangya Hospital, Central South University, Changsha, China.
  • Xue X; Department of Pediatric Cardiovasology, Children's Medical Center, The Second Xiangya Hospital, Central South University, Changsha, China.
  • Liu X; Department of Pediatric Cardiovasology, Children's Medical Center, The Second Xiangya Hospital, Central South University, Changsha, China.
  • Zhu L; Department of Pediatric Cardiovasology, Children's Medical Center, The Second Xiangya Hospital, Central South University, Changsha, China.
  • Liu D; Department of Pediatric Cardiovasology, Children's Medical Center, The Second Xiangya Hospital, Central South University, Changsha, China.
  • Kang M; Department of Pediatrics, The First People's Hospital of Changde City, Changde, China.
  • Liu L; Department of Pediatric Cardiovasology, Children's Medical Center, The Second Xiangya Hospital, Central South University, Changsha, China.
  • Chu W; Department of Pediatrics, The Third Hospital of Changsha, Changsha, China.
  • Li X; Department of Pediatric Cardiovasology, Children's Medical Center, The Second Xiangya Hospital, Central South University, Changsha, China.
  • Luo X; Department of Pediatrics, Hunan Want Want Hospital, Changsha, China.
  • Zou R; Department of Pediatric Cardiovasology, Children's Medical Center, The Second Xiangya Hospital, Central South University, Changsha, China.
  • Wang C; Department of Pediatrics, Changsha Central Hospital, University of South China, Changsha, China.
Cardiol Young ; : 1-6, 2024 Apr 05.
Article in En | MEDLINE | ID: mdl-38577783
ABSTRACT

OBJECTIVE:

Head-up tilt test (HUTT) is an important tool in the diagnosis of pediatric vasovagal syncope. This research will explore the relationship between syncopal symptoms and HUTT modes in pediatric vasovagal syncope.

METHODS:

A retrospective analysis was performed on the clinical data of 2513 children aged 3-18 years, who were diagnosed with vasovagal syncope, from Jan. 2001 to Dec. 2021 due to unexplained syncope or pre-syncope. The average age was 11.76 ± 2.83 years, including 1124 males and 1389 females. The patients were divided into the basic head-up tilt test (BHUT) group (596 patients) and the sublingual nitroglycerine head-up tilt test (SNHUT) group (1917 patients) according to the mode of positive HUTT at the time of confirmed pediatric vasovagal syncope.

RESULTS:

(1) Baseline characteristics Age, height, weight, heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), and composition ratio of syncope at baseline status were higher in the BHUT group than in the SNHUT group (all P < 0.05). (2) Univariate

analysis:

Age, height, weight, HR, SBP, DBP, and syncope were potential risk factors for BHUT positive (all P < 0.05). (3) Multivariate

analysis:

syncope was an independent risk factor for BHUT positive, with a probability increase of 121% compared to pre-syncope (P<0.001).

CONCLUSION:

The probability of BHUT positivity was significantly higher than SNHUT in pediatric vasovagal syncope with previous syncopal episodes.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Cardiol Young Journal subject: ANGIOLOGIA / CARDIOLOGIA / PEDIATRIA Year: 2024 Document type: Article Affiliation country:
Fulltext
Add to My VHL
Print
XML
PubMed Links
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Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Cardiol Young Journal subject: ANGIOLOGIA / CARDIOLOGIA / PEDIATRIA Year: 2024 Document type: Article Affiliation country: