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学科主题临床医学
Tilt angles and positive response of head-up tilt test in children with orthostatic intolerance
Lin, Jing1; Wang, Yuli1; Ochs, Todd2; Tang, Chaoshu3,4; Du, Junbao1; Jin, Hongfang1
关键词Head-up tilt test diagnostic rate degree of psychological fear positive response appearance time
刊名CARDIOLOGY IN THE YOUNG
2015
DOI10.1017/S1047951113001601
25期:1页:76-80
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Cardiac & Cardiovascular Systems ; Pediatrics
研究领域[WOS]Cardiovascular System & Cardiology ; Pediatrics
关键词[WOS]TACHYCARDIA SYNDROME ; CARDIAC SYNCOPE ; ADOLESCENTS ; PAIN ; MULTICENTER ; SCALE ; LONG
英文摘要

This study aimed at examining three tilt angle-based positive responses and the time to positive response in a head-up tilt test for children with orthostatic intolerance, and the psychological fear experienced at the three angles during head-up tilt test. A total of 174 children, including 76 boys and 98 girls, aged from 4 to 18 years old (mean 11.3 +/- 2.8 years old), with unexplained syncope, were randomly divided into three groups, to undergo head-up tilt test at the angles of 60 degrees, 70 degrees and 80 degrees, respectively. The diagnostic rates and times were analysed, and Wong-Baker face pain rating scale was used to access the children′s psychological fear. There were no significant differences in diagnostic rates of postural orthostatic tachycardia syndrome and vasovagal syncope at different tilt angles during the head-up tilt test (p > 0.05). There was a significant difference, however, in the psychological fear at different tilt angles utilising the Kruskal-Wallis test (chi(2) = 36.398, p < 0.01). It was mildest at tilt angle 60 degrees utilising the Kolmogorov-Smirnov test (p < 0.01). A positive rank correlation was found between the psychological fear and the degree of tilt angle (r(s) = 0.445, p < 0.01). Positive response appearance time was 15.1 +/- 14.0 minutes at 60 degrees for vasovagal syncope children. There was no significant difference in the time to positive response, at different tilt angles during the head-up tilt test for vasovagal syncope or for postural orthostatic tachycardia syndrome. Hence, it is suggested that a tilt angle of 60 degrees and head-up tilt test time of 45 minutes should be suitable for children with vasovagal syncope.

语种英语
WOS记录号WOS:000349387300011
项目编号2012BAI03B03
资助机构National Twelfth Five-Year Plan for Science &amp ; Technology Support
引用统计
被引频次:1[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/58792
专题北京大学第一临床医学院_儿科
北京大学口腔医学院_口腔正畸科
作者单位1.Minist Educ, Key Lab Mol Cardiol, Beijing, Peoples R China
2.Peking Univ, Dept Pediat, Hosp 1, Beijing 100034, Peoples R China
3.Northwestern Univ, Sch Med, Dept Pediat, Chicago, IL 60611 USA
4.Peking Univ, Hlth Sci Ctr, Dept Physiol & Pathophysiol, Beijing 100034, Peoples R China
推荐引用方式
GB/T 7714
Lin, Jing,Wang, Yuli,Ochs, Todd,et al. Tilt angles and positive response of head-up tilt test in children with orthostatic intolerance[J]. CARDIOLOGY IN THE YOUNG,2015,25(1):76-80.
APA Lin, Jing,Wang, Yuli,Ochs, Todd,Tang, Chaoshu,Du, Junbao,&Jin, Hongfang.(2015).Tilt angles and positive response of head-up tilt test in children with orthostatic intolerance.CARDIOLOGY IN THE YOUNG,25(1),76-80.
MLA Lin, Jing,et al."Tilt angles and positive response of head-up tilt test in children with orthostatic intolerance".CARDIOLOGY IN THE YOUNG 25.1(2015):76-80.
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