'The Italian Protocol': a simplified head-up tilt testing potentiated with oral nitroglycerin to assess patients with unexplained syncope

被引:227
作者
Bartoletti, A
Alboni, P
Ammirati, F
Brignole, M
Del Rosso, A
Manzillo, GF
Menozzi, C
Raviele, A
Sutton, R
机构
[1] Osped Santa Maria Annunziata, Div Cardiol, Florence, Italy
[2] Osped Civile, Div Cardiol, Cento, Italy
[3] Osped San Filippo neri, Dept Cardiol, Rome, Italy
[4] Osped Riumiti, Arrhythmol Ctr, Lavagna, Italy
[5] OSped San Pietro Igneo, Dept Cardiol, Fucecchio, Italy
[6] Osped Valduce, Dept Cardiol, Como, Italy
[7] Osped S Maria Nuova, Dept Cardiol, Reggio Emilia, Italy
[8] Osped Civile Umberto I, Div Cardiol, Venice, Italy
[9] Royal Brompton Hosp, Dept Cardiol, London SW3 6LY, England
来源
EUROPACE | 2000年 / 2卷 / 04期
关键词
syncope; tilt testing; nitrates;
D O I
10.1053/eupc.2000.0125
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Head-up tilt testing potentiated by sublingual nitroglycerin (NTG), advocated by an Italian group, is a simple and safe but still not a standardized, diagnostic tool for the investigation of syncope. In fact, owing to its rapid spread, the original protocol received, often arbitrarily, many subsequent modifications. We now define the best methodology of the test on strictly evidence-based criteria as: stabilization phase of 5 min in the supine position: passive phase of 20 min at a tilt angle of 60 degrees; provocation phase of further 15 min after 400 mug NTG sublingual spray. Test interruption is made when the protocol is completed in the absence of symptoms, or there is occurrence of syncope, or occurrence of progressive (>5 min) orthostatic hypotension. We intend that this protocol, named by us as 'The Italian Protocol', will be accepted as the standard methodology of the tilt test potentiated by sublingual nitrates. (Europace 2000; 2: 339-342) (C) 2000 The European Society of Cardiology.
引用
收藏
页码:339 / 342
页数:4
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