Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 261.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 261.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 261.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 261.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 261.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 261.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 261.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\26336559
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Arrhythm
2015 ; 31
(4
): 196-200
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Reduced systemic vascular resistance is the underlying hemodynamic mechanism in
nitrate-stimulated vasovagal syncope during head-up tilt-table test
#MMPMID26336559
Kim BG
; Cho SW
; Lee HY
; Kim DH
; Byun YS
; Goh CW
; Rhee KJ
; Kim BO
J Arrhythm
2015[Aug]; 31
(4
): 196-200
PMID26336559
show ga
BACKGROUND: Nitroglycerin (NTG) challenge during head-up tilt-table testing
(HUTT) is often utilized to determine the etiology of unexplained vascular
syncope. However, conflicting results concerning nitrate-induced hemodynamic
changes during HUTT have been reported. The purpose of this study was to assess
the determinants of presyncopal symptoms during NTG-stimulated HUTT. METHODS: We
evaluated 40 patients with suspected vasovagal syncope. Beat-to-beat changes in
blood pressure, heart rate (HR), cardiac index (CI), and systemic vascular
resistance (SVR) during HUTT were measured with thoracic impedance cardiography
and a plethysmographic finger arterial pressure monitoring device. RESULTS: None
of the 40 patients complained of presyncopal symptoms during passive HUTT.
However, after the administration of NTG 28 patients showed presyncopal symptoms
(NTG+ group) and the remaining 12 patients did not (NTG- group). HR, CI, and the
stroke index did not significantly differ between the two groups, whereas mean
arterial pressure and SVR were significantly lower in the NTG+ group.
CONCLUSIONS: Presyncopal symptoms during NTG-stimulated HUTT are SVR mediated,
not cardiac output mediated. This study challenges the conventional idea of a
decrease in cardiac output mediated by NTG as the overriding cause of presyncopal
symptoms during HUTT.