Comparison between Short and Long Protocols of Head Up Tilt Table Test | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 237, Volume 88, Issue 1, July 2022, Pages 3749-3756 PDF (236.54 K) | ||
| DOI: 10.21608/ejhm.2022.252033 | ||
| Authors | ||
| Emad Effat Fakhry* ; Islam Mahmoud Bastawy; Maha Mohamed Mohamed Khalifa | ||
| Cardiology Department, Faculty of Medicine, Ain Shams University, Egypt | ||
| 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. | ||
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