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Scientific paper - Original scientific paper
Tilt-table test kod bolesnika s grčevitom sinkopom
Medica Jadertina, 46 (2016), 1-2; 7-8. urn:nbn:hr:184:941844
Mornar Jelavić, Marko; Hećimović, Hrvoje; Erceg, Vesna; Plazonić, Željko; Pintarić, Hrvoje; Turčinov, Jadranko

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Mornar Jelavić, M., Hećimović, H., Erceg, V., Plazonić, Ž., Pintarić, H. & Turčinov, J. (2016). Tilt-table test kod bolesnika s grčevitom sinkopom. Medica Jadertina, 46. (1-2), 7-8. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:941844

Mornar Jelavić, Marko, et al. "Tilt-table test kod bolesnika s grčevitom sinkopom." Medica Jadertina, vol. 46, no. 1-2, 2016, pp. 7-8. https://urn.nsk.hr/urn:nbn:hr:184:941844

Mornar Jelavić, Marko, Hrvoje Hećimović, Vesna Erceg, Željko Plazonić, Hrvoje Pintarić and Jadranko Turčinov. "Tilt-table test kod bolesnika s grčevitom sinkopom." Medica Jadertina 46, no. 1-2 (2016): 7-8. https://urn.nsk.hr/urn:nbn:hr:184:941844

Mornar Jelavić, M., et al. (2016) 'Tilt-table test kod bolesnika s grčevitom sinkopom', Medica Jadertina, 46(1-2), pp. 7-8. Available at: https://urn.nsk.hr/urn:nbn:hr:184:941844 (Accessed 18 February 2025)

Mornar Jelavić M, Hećimović H, Erceg V, Plazonić Ž, Pintarić H, Turčinov J. Tilt-table test kod bolesnika s grčevitom sinkopom. Medica Jadertina [Internet]. 2016 [cited 2025 February 18];46(1-2):7-8. Available at: https://urn.nsk.hr/urn:nbn:hr:184:941844

M. Mornar Jelavić, H. Hećimović, V. Erceg, Ž. Plazonić, H. Pintarić and J. Turčinov, "Tilt-table test kod bolesnika s grčevitom sinkopom", Medica Jadertina, vol. 46, no. 1-2, pp. 7-8, 2016. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:941844. [Accessed: 18 February 2025]

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Metadata
Title (croatian)Tilt-table test kod bolesnika s grčevitom sinkopom
Title (english)Tilt-table test in patients with convulsive syncope
AuthorMarko Mornar Jelavić
AuthorHrvoje Hećimović
AuthorVesna Erceg
AuthorŽeljko Plazonić
AuthorHrvoje Pintarić
AuthorJadranko Turčinov
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Internal Medicine)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Abstract (croatian)
Cilj: Istražiti ulogu tilt-up testa (HUTT) u evaluaciji bolesnika s konvulzivnom sinkopom, a posebice u bolesnika rezistentnih na antikonvulzivnu terapiju. Bolesnici i metode: Ova retrospektivna studija (veljača 2012. – rujan 2014.) provedena je na 30 uzastopnih bolesnika u Zavodu za kardiologiju KBC-a Sestre milosrdnice. Bolesnici su grupirani kako slijedi: Grupa A (konvulzivna sinkopa rezistentna na antiepileptike, n = 12) i Grupa B (konvulzivna sinkopa bez terapije, n = 18). Grupe su analizirane prema njihovim demografskim podacima (dob, spol), specijalistima koji su uputili na pretragu (kardiolozi, neurolozi, ostali), te rezultatima (pozitivan/negativan) i specifičnim odgovorima (kardio-inhibicija, vazodepresija, ili mješoviti) HUTT-a. Rezultati: Grupe A i B upućivane su na HUTT isključivo od strane neurologa (p < 0,05). Test je bio pozitivan u 5 (16,7%) bolesnika. U grupi A, tri bolesnika (60%) je imalo kardioinhibitorni odgovor, dok je u grupi B dva bolesnika imalo miješani (20%) i vazodepresorni (20%) odgovor. Sva tri bolesnika (2 muškarca i 1 žena, prosječne dobi 28,5 godina) s kardioinhibitornim odgovorom u Grupi A imala su normalan nalaz elektroencefalografije i uzimali su antiepileptike. Tijekom izvođenja testa zabilježili smo bradikardiju (30 ± 5 otkucaja/min) i prolongiranu asistoliju (13,7 ± 11 sekundi), uz pojavu tipičnih konvulzija. Dobili su trajni elektrostimulator (atrijska/ventrikularna stimulacija, kontrola frekvencije) i postepeno im je ukinuta antikonvulzivna terapija. Tijekom 24 mjeseca praćenja bili su bez recidiva sinkope. Zaključak: HUTT ima važnu ulogu u evaluaciji bolesnika s konvulzivnom sinkopom rezistentnom na antiepileptike. Indikacija za ugradnju elektrostimulatora pokazala se učinkovitom u sprječavanju recidiva sinkopa kod navedenih bolesnika.
Abstract (english)
Aim: To investigate the role of head-up tilt-test (HUTT) in evaluation of patients with convulsive syncope, especially of those resistant on antiepileptic drugs. Patients and methods: This retrospective study (February 2012 – September 2014) was performed on 30 consecutive patients at the Department of Cardiology, Sestre milosrdnice University Hospital Center. They were grouped as follows: Group A (convulsive syncope resistant on antiepileptics, n = 12) and Group B (convulsive syncope with no medications, n = 18). The groups were analysed by their demographic data (age, gender), referral specialists (cardiologists, neurologists, others) and HUTT results (positive/negative) with specific response (cardioinhibitory, vasodepressor, or mixed). Results: Groups A and B were referred to the HUTT only by neurologists (p < 0.05). 5 patients were positive (16.7%). In Group A, 3 patients (60.0%) had cardioinhibitory response, while 2 patients in Group B had mixed (20.0%) and vasodepressor (20.0%) response. All three patients (2 male/1 female, mean age 28.5 years) in Group A with cardioinhibitory response had normal electroencephalography and were on antiepileptics. During HUTT, they had bradycardia (heart rate 30.0 ± 5.0 beats/min) and prolonged asystole (13.7 ± 11.0 seconds) with development of typical convulsions. They got a permanent pacemaker (atrial/ventricular stimulation, heart rate control) and anticonvulsive therapy was slowly withdrawn. They had no syncope recurrence during 24 months of follow-up. Conclusion: HUTT has an important role in the evaluation of patients with convulsive syncope resistant on anticonvulsive drugs. Indication for a pacemaker implantation proved to be effective in preventing syncope relapses in these patients.
Keywords (croatian)
Keywords (english)
Languagecroatian
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleMedica Jadertina
Numberingvol. 46, no. 1-2, pp. 7-8
p-ISSN0351-0093
URN:NBNurn:nbn:hr:184:941844
Publication2016
Document URLhttps://hrcak.srce.hr/159829
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) icon
Created on2022-03-11 18:17:18