Arrhythmias & electrophysiology

Clinical features and response at head-up tilt test of patients with situational syncope

HeartPublished Retrospective cohort study

Authors' conclusion

Compared with VVS, patients with SS have different clinical characteristics and a higher prevalence of hypotensive drugs leading to hypotensive susceptibility. The positivity rate of HUTT is high and similar to that of VVS, although patients with SS show a higher prevalence of hypotensive responses.

Study context

Population
Consecutive patients who underwent nitroglycerin-potentiated head-up tilt test
Participants
1,285 patients
Exposure
Situational syncope vs vasovagal syncope
Outcome
Clinical characteristics and response at HUTT
Methodological detailsconsecutive patients, nitroglycerin-potentiated head-up tilt test (HUTT)
  • Consecutive patients
  • Nitroglycerin-potentiated HUTT

Main finding

As reported in the abstract

HUTT positivity

P = 0.9

Observational data: associations, not effects.

Further findings

Male sex

P = 0.001

HUTT response type

Mixed

P = 0.002

Vasodepressor

P = 0.01

Cardioinhibitory

P < 0.0001

OutcomeSSVVSORP value
Age48.8 ± 20.044.4 ± 19.1P = 0.007
Factors independently associated with SS (multivariable analysis)Smoking habit2.28P < 0.0001
Factors independently associated with SS (multivariable analysis)History of traumatic syncope2.29P = 0.0001
Factors independently associated with SS (multivariable analysis)ACE inhibitors/angiotensin II receptor blockers4.74P < 0.0001

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Clinical features and response at head-up tilt test of patients with situational syncope. Heart. Published 1 August 2023. doi:10.1136/heartjnl-2023-322943

Composed by AI from the published abstract and checked against it. How Briefs are made →

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