Source:http://linkedlifedata.com/resource/pubmed/id/17412438
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
2008-6-16
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pubmed:abstractText |
Head-up tilt testing is an important tool in the diagnosis of syncope. Several different protocols are in use. We describe the case of a 70-year-old Italian woman admitted to our observation. The patient was in antihypertensive treatment with carvedilol and with a combination of lisinopril and hydrochlorothiazide. A simplified Italian protocol head-up tilt testing was performed. A 4.10 s pause with syncope and a profound hypotension (blood pressure values were 65/50 mm Hg) were observed after 3 min in the provocation phase. Second-degree atrioventricular Block of the 2:1 form, advanced second-degree atrioventricular block and junctional escape rhythm (28 bpm) were observed. A simplified Italian protocol head-up tilt testing was performed after 40 days of withdrawal of carvedilol. A 2 s pause with presyncope and a hypotension (blood pressure values were 80/70 mm Hg) were observed after 2 min in the provocation phase. ECG revealed a bradycardic sinusal rhythm with heart rate of 42 bpm. This case assesses the importance of a pharmacological washout for the correct evaluation of the head-up tilt testing.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Antihypertensive Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Carbazoles,
http://linkedlifedata.com/resource/pubmed/chemical/Hydrochlorothiazide,
http://linkedlifedata.com/resource/pubmed/chemical/Lisinopril,
http://linkedlifedata.com/resource/pubmed/chemical/Propanolamines,
http://linkedlifedata.com/resource/pubmed/chemical/carvedilol
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pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
1874-1754
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:day |
4
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pubmed:volume |
127
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
e31-2
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pubmed:meshHeading |
pubmed-meshheading:17412438-Aged,
pubmed-meshheading:17412438-Antihypertensive Agents,
pubmed-meshheading:17412438-Carbazoles,
pubmed-meshheading:17412438-Diagnostic Errors,
pubmed-meshheading:17412438-Drug Therapy, Combination,
pubmed-meshheading:17412438-Electrocardiography,
pubmed-meshheading:17412438-Female,
pubmed-meshheading:17412438-Humans,
pubmed-meshheading:17412438-Hydrochlorothiazide,
pubmed-meshheading:17412438-Hypertension,
pubmed-meshheading:17412438-Hypotension, Orthostatic,
pubmed-meshheading:17412438-Lisinopril,
pubmed-meshheading:17412438-Propanolamines,
pubmed-meshheading:17412438-Syncope,
pubmed-meshheading:17412438-Tilt-Table Test
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pubmed:year |
2008
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pubmed:articleTitle |
Pharmacological washout for the correct evaluation of the head-up tilt testing.
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pubmed:publicationType |
Letter,
Case Reports
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