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. 2021 Feb 28;13(5):2384.
doi: 10.4022/jafib.2384. eCollection 2021 Feb-Mar.

Why is the Tilt Table Test Still Useful to Define who Should or Should Not Get A Pacemaker with Vasovagal Syncope?

Tolga Aksu  1 , Kıvanc Yalin  2
Affiliations

Why is the Tilt Table Test Still Useful to Define who Should or Should Not Get A Pacemaker with Vasovagal Syncope?

Tolga Aksu et al. J Atr Fibrillation. .

Abstract

The the tilt table test (TTT )has been used identify appropriate candidates for pacing in the majority of randomized trials. However, in recent years, it has been claimed-based largely on International Study on Syncope of Uncertain Etiology (ISSUE) studies-that the TTT demonstrates only a weak correlation with the mechanism documented by implantable loop recorder (ILR) at the time of syncope and thus confounds the correct diagnosis. Thus, cardiac pacing was supported in patients with recurrent vasovagal syncope (VVS) in whom clinically relevant asystole had been documented by ILR. In the present Editorial, we tried to discuss potential role of TTT in diagnostic workflow of VVS based on current data.

Keywords: Loop recorder; Pacemaker; Syncope; Tilt test.

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References

    1. Sutton Richard, de Jong Jelle S Y, Stewart Julian M, Fedorowski Artur, de Lange Frederik J. Pacing in vasovagal syncope: Physiology, pacemaker sensors, and recent clinical trials-Precise patient selection and measurable benefit. Heart Rhythm. 2020 May;17 (5 Pt A):821–828. - PMC - PubMed
    1. Connolly S J, Sheldon R, Roberts R S, Gent M. The North American Vasovagal Pacemaker Study (VPS). A randomized trial of permanent cardiac pacing for the prevention of vasovagal syncope. J Am Coll Cardiol. 1999 Jan;33 (1):16–20. - PubMed
    1. Sutton R, Brignole M, Menozzi C, Raviele A, Alboni P, Giani P, Moya A. Dual-chamber pacing in the treatment of neurally mediated tilt-positive cardioinhibitory syncope : pacemaker versus no therapy: a multicenter randomized study. The Vasovagal Syncope International Study (VASIS) Investigators. Circulation. 2000 Jul 18;102 (3):294–9. - PubMed
    1. Ammirati F, Colivicchi F, Santini M. Permanent cardiac pacing versus medical treatment for the prevention of recurrent vasovagal syncope: a multicenter, randomized, controlled trial. Circulation. 2001 Jul 03;104 (1):52–7. - PubMed
    1. Connolly Stuart J, Sheldon Robert, Thorpe Kevin E, Roberts Robin S, Ellenbogen Kenneth A, Wilkoff Bruce L, Morillo Carlos, Gent Michael. Pacemaker therapy for prevention of syncope in patients with recurrent severe vasovagal syncope: Second Vasovagal Pacemaker Study (VPS II): a randomized trial. JAMA. 2003 May 07;289 (17):2224–9. - PubMed

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