Dear All,
Tilt table test is known to produce false positive results.
My queries are -
1) How specific is the procedure?
2) Are there any alternative procedures to accurately diagnose syncope?
3) Can syncope be firmly related to autonomous neuropathic pain?
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Syncope could be grouped as - vasovagal, functional, exertional, neuropathic, idiopathic, somatic, psychosomatic, etc.
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Thank you and best regards - Mariam
Hi Mariam, I think that cardiologic and neurologic assessments should be performed in each patient.
We perform HUTT and EEG simultaneously.
check this out: http://www.ncbi.nlm.nih.gov/pubmed/21334537
hello Mariam. Specialtist in Cardiology and Neurology have to assess the patients independently. There are many causes of syncope, patients questioning helps guide potential diagnostic test which we have to erient ourselves as experts. On many ocations we have to make more than one diagnostic test. There are some causes of syncope are benign and other causes are associated with a higher sudden death risk.
The main problem of Tilt testing is its reproducibility both in positive and negative responses, which has a wide variation. Sensitivity and specificity depend on the protocol you uses. However, a diagnosis of syncope may be obtained with high suspicion using scores devoleped in order to address the clinician during the very first evaluation of the patient (EGYS score, for example). In the majority of cases Tilt testing is not necessary.
Thanks All,
How then some cardiac and neuro doctors simply diagnose syncope as a mental disorder like somatoform disorder when the HUTT and EEG are usually false positive alias normal?
Is it true that false positive or normal findings merely lead to the diagnosis of a mental disorder because the outright answer is or could never be found?
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