Head-up-tilt testing in children: new perspectives using beat-to-beat blood-pressure monitoring

The head-up-tilt-test in pediatric patients for the evaluation of syncope shows a sensitivity of 35-85% and often requires pharmacological stimulation in order to improve its diagnostic value. We used a new device for beat-to-beat blood pressure monitoring combined with impedance cardiography in a 1...

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Autores principales: Dalla, Pozza R, Kleinmann, A, Zysk, S, Bechtold, S, Netz, N
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2005
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3232569/
https://www.ncbi.nlm.nih.gov/pubmed/22368645
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author Dalla, Pozza R
Kleinmann, A
Zysk, S
Bechtold, S
Netz, N
author_facet Dalla, Pozza R
Kleinmann, A
Zysk, S
Bechtold, S
Netz, N
author_sort Dalla, Pozza R
collection PubMed
description The head-up-tilt-test in pediatric patients for the evaluation of syncope shows a sensitivity of 35-85% and often requires pharmacological stimulation in order to improve its diagnostic value. We used a new device for beat-to-beat blood pressure monitoring combined with impedance cardiography in a 12-year-old girl during tilt testing. A seven seconds asystolia was provoked. The haemodynamic parameters showed clearly the drop in heart rate as well as in cardiac output, and returned to normal values after tilting back the patient. With the help of this new monitoring device, the sensitivity and specificity of head-up-tilt-testing can probably be improved.
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spelling pubmed-32325692012-02-22 Head-up-tilt testing in children: new perspectives using beat-to-beat blood-pressure monitoring Dalla, Pozza R Kleinmann, A Zysk, S Bechtold, S Netz, N Images Paediatr Cardiol Case Report The head-up-tilt-test in pediatric patients for the evaluation of syncope shows a sensitivity of 35-85% and often requires pharmacological stimulation in order to improve its diagnostic value. We used a new device for beat-to-beat blood pressure monitoring combined with impedance cardiography in a 12-year-old girl during tilt testing. A seven seconds asystolia was provoked. The haemodynamic parameters showed clearly the drop in heart rate as well as in cardiac output, and returned to normal values after tilting back the patient. With the help of this new monitoring device, the sensitivity and specificity of head-up-tilt-testing can probably be improved. Medknow Publications & Media Pvt Ltd 2005 /pmc/articles/PMC3232569/ /pubmed/22368645 Text en Copyright: © Images in Paediatric Cardiology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Dalla, Pozza R
Kleinmann, A
Zysk, S
Bechtold, S
Netz, N
Head-up-tilt testing in children: new perspectives using beat-to-beat blood-pressure monitoring
title Head-up-tilt testing in children: new perspectives using beat-to-beat blood-pressure monitoring
title_full Head-up-tilt testing in children: new perspectives using beat-to-beat blood-pressure monitoring
title_fullStr Head-up-tilt testing in children: new perspectives using beat-to-beat blood-pressure monitoring
title_full_unstemmed Head-up-tilt testing in children: new perspectives using beat-to-beat blood-pressure monitoring
title_short Head-up-tilt testing in children: new perspectives using beat-to-beat blood-pressure monitoring
title_sort head-up-tilt testing in children: new perspectives using beat-to-beat blood-pressure monitoring
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3232569/
https://www.ncbi.nlm.nih.gov/pubmed/22368645
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