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252033

Comparison between Short and Long Protocols of Head Up Tilt Table Test

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Last updated: 03 Jan 2025

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Abstract

Background: There are several potential causes of syncope, however vasovagal syncope is quite prevalent. Knowing the root cause of syncope requires a thorough history and a variety of investigative methods. Time and energy could be conserved with a streamlined approach for the head-up tilt table (HUT) test. Objective: The present study aim was to compare the efficacy of a shorter HUT technique to the longer standard methodology. Patients and Methods: The study was conducted on 276 patients with history of syncope.  In the interest of patient care, all patients were directed to HUT. Complete clinical evaluations were performed on all patients, both generally and locally, in addition to a 12-lead electrocardiogram (ECG) as a baseline. They were classified randomly in 2 groups, the first group (group A) included 150 patients who underwent HUT test by the conventional long protocol which included 15 minutes duration in stage I, and the other group included 126 patients (group B) underwent the same procedure with the modified short-timed protocol which included only 10 minutes duration in stage I. Results: Our results showed no statistically significant differences between the two groups in terms of test outcomes; nevertheless, there was a statistically significant difference in patient recovery time between the two groups for the shorter-timed procedure (mean 2.64 ± 1.35 minutes) versus the long-timed protocol (4.05 ± 1.19l minutes), with p value <0.001. Conclusions: When attempting to identify neuro-cardiogenic syncope, using the shorter timed protocol for HUT testing is just as valid as using the longer timed technique. Reduced time and effort spent on the procedure contributed to better patient recovery time and convenience.

DOI

10.21608/ejhm.2022.252033

Authors

First Name

Emad Effat

Last Name

Fakhry

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Affiliation

Cardiology Department, Faculty of Medicine, Ain Shams University, Egypt

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First Name

Islam Mahmoud

Last Name

Bastawy

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Affiliation

Cardiology Department, Faculty of Medicine, Ain Shams University, Egypt

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Orcid

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First Name

Maha Mohamed Mohamed

Last Name

Khalifa

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Affiliation

Cardiology Department, Faculty of Medicine, Ain Shams University, Egypt

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dr.mahakhalifa@hotmail.com

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Volume

88

Article Issue

1

Related Issue

33970

Issue Date

2022-07-01

Receive Date

2022-03-28

Publish Date

2022-07-01

Page Start

3,749

Page End

3,756

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_252033.html

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https://ejhm.journals.ekb.eg/service?article_code=252033

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237

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Comparison between Short and Long Protocols of Head Up Tilt Table Test

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Article

Created At

22 Jan 2023