Evidence map›Paper›PMID 40185401›Full record

ReviewIndian heart journal

A contemporary review of the head-up tilt test: Utility and limitations.

Ameya Udyavar, Jayaprakash Shenthar, Ajay Madhukar Naik, Dibbendhu Khanra, Vadivelu Ramalingam, Rahul Singhal, Dinesh Choudhary, Prabha Nini Gupta, B Hygriv Rao, Saurabh Mehrotra and 5 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Indian heart journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

15 authors.

Ameya UdyavarP.D. Hinduja National Hospital, Mahim, Mumbai, India. Electronic address: drameya@gmail.com.
Jayaprakash ShentharSri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, India.
Ajay Madhukar NaikArrhythmia and Heart Failure Device Division, Marengo CIMS Hospital, India.
Dibbendhu KhanraQueen Elizabeth Hospital, Birmingham, United Kingdom.
Vadivelu RamalingamDepartment of Cardiology, Velammal Medical College Hospital, Madurai, India.
Rahul SinghalCardiology and Cardiac Electrophysiology, Fortis Hospital, Jaipur, India.
Dinesh ChoudharyCardiology, S P Medical College, Bikaner, Rajasthan, India.
Prabha Nini GuptaSri Ramakrishna Mission Hospital Trivandrum, India.
B Hygriv RaoDivision of Pacing &Electrophysiology, KIMS Hospitals, Hyderabad, India.
Saurabh MehrotraCardiology, PGIMER, Chandigarh, India.
Vanita AroraCardiac Electrophysiologist, Indraprastha Apollo Hospital, New Delhi, India.
Sanjeev KathuriaGIPMER, New Delhi, India.
Pawan SuriGlobal Hospital, Jalandhar, Punjab, India.
David BendittArrhythmia Service, Cardiovascular Division, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.
Richard SuttonDept. of Cardiology, National Heart & Lung Institute, Hammersmith Hospital Campus, Imperial College, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Head-Up Tilt Test (HUTT) has been widely used for the past four decades as part of the overall assessment of the potential causes of collapse in patients with recurring transient loss of consciousness (TLOC) of unknown cause. The ability of a positive HUTT often to reproduce patient symptoms and illustrate to the patient that the physician is confident of the diagnosis have been major advances in clinical TLOC management. Tilt testing has been particularly important in understanding and diagnosing vasovagal syncope (VVS) and orthostatic hypotension. Despite HUTT having great clinical utility, different HUTT protocols and drug provocations result in different test yields. Limited HUTT reproducibility has led some researchers to criticize HUTT utility. As in most medical tests, limitations are part of the test. Herein, we provide a contemporary review of HUTT's utility in diagnosing and managing various TLOC disorders with intent to clarify its role in clinical practice.

Indexed as

Hypotension, OrthostaticSyncope, VasovagalTilt-Table TestHumansReproducibility of ResultsHead-up tilt testOrthostatic hypotensionPsychogenic pseudosyncopeSyncopeVasovagal syncope

Identifiers

PMID40185401
PMCPMC12223533

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