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Native valve infective endocarditis (IE) is rare, with an incidence of 3–7 cases per 100,000 person-years.1,2 Cardiac structural complications from local infection extension include valvular destruction, peri-annular abscess and fistula formation. Left ventricular pseudoaneurysm (LVP) from IE is exceedingly rare, occurring in <1% of cases, and is associated with high morbidity and mortality. Diagnosis is challenging due to nonspecific symptoms […]

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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