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《Chinese Journal of Practical Pediatrics》 2007-01
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Prediction with recurrent syncope in children of vasovagal syncope through head-up tilt table test

*WANG Cheng,HE Zhi-xiang,LI Ming-xiang,et al.*Department of Cardiovascular Pediatrics,the Second Xiangya Hospital,Central South University;Institute of Pediatrics of Central South University,Changsha 410011,China  
Objective To probe prediction of recurrent syncope in children with vasovagal syncope(VVS)through head-up tilt table test(HUTT).Methods There were 251(male 112 and female 139)patients with unexplained syncope(UPS)aged from 4 to 18(12.25±3.27)years old who came from syncope department and hospitalization of the Second Xiangya Hospital of Central South University and they were made basic head-up tilt table test(BHUT,n=251)with power tilt table.Negative cases of BHUT were given written informed consent and then given sublingual glyceryl trinitrate 0.2mg and made sublingual nitroglycerin head-up tilt table test(SNHUT,n=92).The patients were divided into three groups:A group(n=54,syncope episode only 1 time)and B group(n=137,syncope episode were 2 to 4 times)and C group(n=60,syncope episode≥5 times).These data were statistically analyzed by computer with SPSS 11.0 software.Results(1)The relationship between the positive rate of HUTT and the syncope frequency:the positive rate of BHUT was increasing with the increase of syncope frequency(χ 2=4.285,P0.05),while the positive rate of SNHUT has no linear relation with the increase of syncope frequency(χ 2=1.316,P0.05),and it was also increasing with the increase of syncope frequency about the total positive rate of HUTT(BHUT + SNHUT)in different groups(χ 2=3.809,P0.05).(2)The relationship between the reaction type and the syncope frequency:the reaction type was mainly vasoinhibition both in BHUT and SNHUT;there was no significant difference among different syncope frequency groups inBHUT(χ 2=3.008,P0.05)and in SNHUT(χ 2=2.426,P0.05).Conclusion There is no relationship between HUTT and recurrent syncope episodes.The positive rate of HUTT cannot predict recurrent syncope episodes in children with VVS.
【Fund】: “十五”国家科技攻关计划(No.2004BA720A10);; 湖南省科技厅资助项目(No.03SSY4022)
【CateGory Index】: R725.4
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【References】
Chinese Journal Full-text Database 1 Hits
1 Praveen Kumar,HU Chun-yan,WANG Cheng,LIU Xiao-yan,WU Li-jia,LI Ming-xiang,CAO Min-jing,LIN Ping,CUI Xiao-li(Department of Cardiovascular Pediatrics,the Second Xiangya Hospital of Central South University,Institute of Pediatrics of Central South University,Changsha 410011,Hunan Province,China);Relationship between Unexplained Chest Distress and(or) Chest Pain in Children and Head-Up Tilt Test[J];Journal of Applied Clinical Pediatrics;2009-01
【Citations】
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1 WANG Cheng,HE Zhi-xiang,LI Ming-xiang,et al.Cardiovascular laboratory,Department of Pediatric,the Second Xiangya Hospital,Central South University;Institute of Pediatrics of Central South University,Changsha 410011,China;Diagnostic influence of different angles of head-up tilt table test on children with vasovagal syncope[J];Chinese Journal of Critical Care Medicine;2006-06
2 Wang Cheng,Li Wen,Li Mingxiang,et al.Department of Cardiovascular Pediatrics,The Second Xiangya Hospital,Central South University,Institute of Pediatrics of Central South University,Changsha 410011,China;Clinical diagnostic value of sublingual glyceryl trinitrate provocation head-up tilt table test in children’s vasovagal syncope.[J];Chinese Journal of Practical Pediatrics;2005-11
3 WANG Cheng 1, XIE Zhenwu 1, LI Mingxiang 1, LIN Ping 1, LI Wen 1, QIN Yun 1, ZHENG Huixiu 1, JIANG Deqian 2. 1. Cardiovascular Laboratory, Department of Pediatric, 2. Cardiovascular Laboratory, Department of Internal Medicine, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan, China;Comparison of diagnosis of head-up tilt table test on syncope patients with different age and gender[J];Chinese Journal of Integrated Traditional and Western Medicine in Intentire Critical Care;2005-02
【Co-citations】
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1 LI Mingxiang, HE Zhixiang, WANG Cheng, et al;Nursing of Vasovagal Syncope with Basic Head-up Tilt Table Test and Sublingual Nitroglycerin Head-up Tilt Table Test[J];Journal of Nursing Science;2006-05
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【Co-references】
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1 WANG Cheng,MAO Ding-an,LI Ming-xiang,et al.Department of Cardiovascular Pediatric,the Second Xiangya Hospital,Central South University;Institute of Pediatrics of Central South University,Changsha 410011,China;Diagnostic difference of head-up tilt table test in the patients of unexplained dizziness and syncope[J];Chinese Journal of Critical Care Medicine;2005-11
【Secondary References】
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1 DING Yi-yi,WANG Cheng,WU Li-jia,HU Chun-yan,LIN Ping(Department of Pediatric Cardiovascular,the Second Xiangya Hospital of Central South University,Changsha 410011,Hunan Province,China);Psychological Factors of Children with Vasovagal Syncope[J];Journal of Applied Clinical Pediatrics;2010-06
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