Jungblut Sven, Frickmann Hagen, Römer Albrecht, Gilfrich Hans Joachim
Medizinische Klinik, St. Katharinen Krankenhaus, Frankfurt/Main.
Med Klin (Munich). 2006 Mar 15;101(3):198-202. doi: 10.1007/s00063-006-1024-x.
The study compares the importance of tilt-table testing and Schellong's test for the diagnosis of syncopes.
In a prospective clinical trial 100 consecutive patients (45 males, 55 females) were included. The index symptom for inclusion was a former syncope or presyncope in the patients' history. The tilt-table testing procedure was performed according to a modified version of the Westminster protocol. Following this procedure, Schellong's test was performed in 83 of the patients.
During tilt-table testing 34 patients suffered from orthostatic dysautonomy with syncope or neuro-cardiogenic syncope. 29 of these symptomatic patients also underwent Schellong's test. However, only four patients showed a borderline positive finding, whereas a clearly positive result was seen in six patients. These patients had shown orthostatic dysautonomies with syncopes during tilt-table testing. No patient suffered from a syncope or presyncope during Schellong's test.
Schellong's test is suitable as a diagnostic procedure for orthostatic dysregulation only, and tilt-table testing is highly superior for objectification of the diagnosis and differentiation of syncope.
本研究比较倾斜试验和谢隆试验在晕厥诊断中的重要性。
在一项前瞻性临床试验中，纳入了100例连续患者（45例男性，55例女性）。纳入的指标症状是患者既往有晕厥或晕厥前状态病史。倾斜试验程序按照威斯敏斯特方案的修改版进行。在此程序之后，83例患者进行了谢隆试验。
在倾斜试验期间，34例患者患有体位性自主神经功能障碍伴晕厥或神经心源性晕厥。这些有症状的患者中有29例也进行了谢隆试验。然而，只有4例患者显示出临界阳性结果，而6例患者显示出明显阳性结果。这些患者在倾斜试验期间表现出体位性自主神经功能障碍伴晕厥。在谢隆试验期间，没有患者发生晕厥或晕厥前状态。
谢隆试验仅适用于体位性调节异常的诊断程序，而倾斜试验在晕厥诊断的客观化和鉴别诊断方面具有高度优越性。
