为什么倾斜试验对于确定哪些血管迷走性晕厥患者应该或不应该植入起搏器仍然有用？
Why is the Tilt Table Test Still Useful to Define who Should or Should Not Get A Pacemaker with Vasovagal Syncope?
作者信息
Aksu Tolga, Yalin Kıvanc
机构信息
University of Health Sciences, KocaeliDerince Education and Research Hospital, Kocaeli, Turkey.
Istanbul-Cerrahpasa University, Faculty of Medicine, Istanbul, Turkey.
出版信息
J Atr Fibrillation. 2021 Feb 28;13(5):2384. doi: 10.4022/jafib.2384. eCollection 2021 Feb-Mar.
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.
摘要
在大多数随机试验中，倾斜试验（TTT）已被用于识别适合起搏治疗的患者。然而，近年来，主要基于不明原因晕厥国际研究（ISSUE）的研究结果，有人声称TTT与晕厥发作时植入式循环记录仪（ILR）记录的机制仅显示出微弱的相关性，因此会干扰正确诊断。因此，对于植入式循环记录仪记录到临床相关心脏停搏的复发性血管迷走性晕厥（VVS）患者，支持进行心脏起搏治疗。在本社论中，我们试图根据现有数据讨论TTT在VVS诊断流程中的潜在作用。
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