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Ventricular fibrillation (VF) is characterized by rapid (>300 beats a per minute), irregular electrical activation with variable electrocardiographic waveforms that prevents coordinated myocardial contraction, resulting in immediate loss of cardiac output.1 It most commonly occurs in the context of coronary artery disease.2,3 Resuscitation efforts are critically time-dependent: with each minute of untreated VF, the survival rate declines […]

Diagnostic value of the head-up tilt test and the R-test in patients with syncope

Riccardo Raddino, Gregoriana Zanini, Debora Robba, Ivano Bonadei, Federica Chieppa, Claudio Pedrinazzi, Giorgio Caretta, Alberto Madureri, Enrico Vizzardi, Livio Dei Cas
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Published Online: Jul 26th 2018 Heart International 2006;2(3-4):171-7
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Abstract

Overview

The diagnostic value of the head-up tilt test (HUTT) in discovering vasovagal syndrome
depends on the pre-test probability. An accurate anamnesis and clinical examination
screens the patients indicated for the HUTT. In patients with unexplained syncope, the R-test is
an alternative procedure to discover its cause. In our study, we evaluated the diagnostic significance
of the HUTT in a group of 211 patients and of the R-test in a subgroup of 45 patients with
negative HUTT results and with negative traditional Holter ECG monitoring (24 hr). (Heart International
2006; 3-4: 171-7)

Keywords

R-test, Head-up tilt test, Syncope

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Article Information

Correspondence

Riccardo Raddino, MD, Section of Cardiovascular Disease, Department of Applied Experimental Medicine, University of Brescia, Via Valsabbina, 19, 25123 Brescia – Italy, riccardo.raddino@libero.it

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