YALÇIN, Murat Gulhane Askeri Tıp Akademisi - Haydarpasa Egitim Hastanesi - Kardiyoloji Servisi, Turkey , Aparci, Mustafa Kasımpasa Asker Hastanesi - Yesilyurt Poliklinigi, Turkey , IŞILAK, Zafer Gulhane Askeri Tıp Akademisi - Haydarpasa Egitim Hastanesi - Kardiyoloji Servisi, Turkey , Uz, Ömer Gulhane Askeri Tıp Akademisi - Haydarpasa Egitim Hastanesi - Kardiyoloji Servisi, Turkey , ATALAY, Murat izmir Asker Hastenesi - Kardiyoloji Servisi, Turkey , ERDAL, Emrah Gulhane Askeri Tıp Akademisi - Haydarpasa Egitim Hastanesi - Kardiyoloji Servisi, Turkey , Kardeşoğlu, Ejder Gulhane Askeri Tıp Akademisi - Haydarpasa Egitim Hastanesi - Kardiyoloji Servisi, Turkey , Uzun, Mehmet Gulhane Askeri Tıp Akademisi - Haydarpasa Egitim Hastanesi - Kardiyoloji Servisi, Turkey

Gender and age effects on the type of result of head-up tilt-table test: A retrospective study

20144

In this study we analyzed retrospectively the results of head-up tilt-table test (HUTT) and clinical features of 591 subjects. The head-up tilt-table test results [normal, vasovagal syncope (mixed, vasodepressor and cardioinhibitory type 2A and 2B)] and the asystole periods were compared by age groups ( 25, 25- 50, 50 years old) and gender. Mixed type and vasodepressor type vasovagal syncope were the predominant types of response [140 (23.7%) and 76 (12.9%), respectively]. Mixed type vasovagal syncope was higher in younger ages ( 25 years) whereas vasodepressor and cardioinhibitory type 2A and 2B type vasovagal syncope was slightly higher in older ages ( 50 years) (p=0.652). While the mostly observed asystole period was 3-6 sec and over in younger ages, it may prolong 7-8 sec and over in adults (25-50 years old) (p=0.285). The only difference with regard to gender was that the rate of vasodepressor type was slightly higher in females (P=0.153) whereas asystole period was more frequently observed in males (P=0.709). Head-up tilt-table test is a convenient and easily applicable test in proper circumstances for all age groups. Although mixed type vasovagal syncope is a predominant diagnosis in the test, cardioinhibitory type vasovagal syncope is not an infrequent one in all age groups. While asystole period of 3-6 sec was mainly observed in younger patients, it was prolonging over 7-8 sec in older ages without any complication.

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Head , up tilt , table test , vasovagal syncope , asystole , arrhythmia

Gulhane Medical Journal

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