Résultats diagnostiques à court terme et pronostiques à long terme chez des patients avec syncopes inexpliquées : résultats d’un série menée en centre hospitalier |
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Authors: | A El Hraiech F MonselJ Sergent W Amara |
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Institution: | Service de cardiologie, GHI Le Raincy-Montfermeil, 10, rue du GL-Leclerc, 93370 Montfermeil, France |
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Abstract: | ObjectiveEvaluate the diagnostic and prognostic input of head-up tilt test in the exploration of unexplained syncope.MethodBetween January 2009 and December 2012, all patients undergoing a head-up tilt test for recurrent syncope were studied. Follow-up data were obtained using telephone interviews and medical record reviews.ResultsA head-up tilt test was realized in 77 patients (47.8 ± 20 years, 53% female) for an exploration of syncope. The tilt test elicited syncope or pre-syncope in 57 patients (74%). The positive response included vaso-vagal syncope in 53 patients and psychogenic syncope in 4 patients. After a mean follow-up of 32 ± 11 months (range 6–54 months), 90% of patients had not a recurrence of syncope. Of note, the incidence of recurrence was the same regardless of whether the patients had a positive (n = 5/48; 10%) or a negative head-up tilt test response (n = 2/19; 10%).ConclusionThe tilt test has a certain diagnostic value in the exploration of unexplained syncope. Recurrence rate of syncope after a tilt test is low. However, our study suggests no correlation between head-up tilt test results and the likelihood of recurring syncope. |
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Keywords: | Test d&rsquo inclinaison Syncope inexpliqué e |
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