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Are heart rate responses reproducible in the tilt-table test?

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Abstract

Measurement of blood pressure and heart rate in active orthostasis has proven to be effective in the diagnosis of autonomic regulatory dysfunctions. The following study was carried out in order to clarify to what extent reproducible heart rate reactions also occur in passive orthostasis. 61 people with normal results in five standardized tests were examined. All 61 test persons had individually differing courses of heart rate. After an initial increase of frequency an almost straight line results from a superimposed projection of the graphs. In 20 of these cases the tilt-table test was repeated in order to detect intra-individual regularities. Even when the test was repeated, no reproducible intra-individual heart rate reactions occured. And here as well, projection of the graphs produced an almost straight line. We could not find any quotient, such as the 30/15 ratio in active orthostasis, during our tests with the tilt-table.

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References

  1. Bannister R, Mathias CJ (1992) Autonomic failure, 3rd edn. Oxford University Press, Oxford, pp 291–311

    Google Scholar 

  2. Bellavere F, Ewing DJ (1982) Autonomic control of the immediate heart rate response to lying down. Clin Sci 62:57–64

    Google Scholar 

  3. Borst C, Wieling W, Brederode van JFM, Hond A, Rijk de LG, Dunning AJ (1982) Mechanism of initial heart rate response to postural change. Am J Physiol 243: H676–681

    Google Scholar 

  4. Dittmar A, Mechelke K (1955) Über die Regelung des Blutdrucks bei gesunden Menschen und Personen mit nervösen Herz-Kreislauf-Störungen. Dtsch Arch Klin Med 201:720–729

    Google Scholar 

  5. Drischel H, Fanter H, Gürtler H, Labitzkc H, Priegnitz F (1963) Das Verhalten der Herzfrequenz gesunder Menschen beim Obergang vom Liegen zum Stehen. Arch Kreislaufforsch 40:135–167

    Google Scholar 

  6. Duncan G, Johnson RH, Lambie DG, Whiteside EA (1980) Evidence of vagal neuropathy in chronic alcoholics. Lancet 11:1053–1057

    Google Scholar 

  7. Ewing DJ, Hume L, Campbell IW, Murray A, Neilson JMM, Clarke BF (1980) Autonomic mechanisms in the initial heart rate response to standing. J Appl Physiol 49:809–814

    Google Scholar 

  8. Ewing DJ, Clarke BF (1982) Diagnosis and mangement of diabetic autonomic neuropathy. Br Med J 285:916–918

    Google Scholar 

  9. Fitzpatrick AP, Theodorakis G, Vardas P, Sutton R (1991) Methodology of head-up tilt testing in patients with unexplained syncope. J Am Coll Cardiol 17:125–130

    Google Scholar 

  10. Garnier B (1971) Untersuchungen fiber die Reaktion des Blutdrucks nach Orthostase. Schweiz Z Sportmed 19:21–33

    Google Scholar 

  11. Jost WH, Kirchhöfer U, Bellon AK, Schimrigk K (1993) Funktionsuntersuchungen des autonomen Nervensystems. Z Gesamte Inn Med 48:469–475

    Google Scholar 

  12. Kunitsch G, Marees de H, Barbey K (1974) Untersuchungen über Kreislaufregulationen wahrend der orthostatischen Anpassungsphase. Basic Res Cardiol 69:278–288

    Google Scholar 

  13. Rechavia E, Strasberg B, Agmon J (1989)Head-up tilt table evaluation in a trained athlete with recurrent vasovagal syncope. Chest 95:689–691

    Google Scholar 

  14. Rossberg F, Martinez L (1983) Das Übergangsverhalten der Herzfrequenz des Menschen in Abhängigkeit von der Atemphase während des schnellen, passiven Lagewechsels. Eur J Appl Physiol 50:291–300

    Google Scholar 

  15. Rossberg F, Balla K (1986) Zur Genese des initialen Herzfrequenzverlaufs bei der Kipptischuntersuchung und dessen Wert für die Beurteilung der autonomen Integrität. Z Gesamte Inn Med 41:221–226

    Google Scholar 

  16. Sjöstrand T (1950) Physiologisches Verhalten von Blutdruck und Herzfrequenz beim Lagewechsel. Nord Med 43:155–167

    Google Scholar 

  17. Sundkvist G, Lilja B, Almér L-O (1980) Abnormal diastolic blood pressure and heart rate reactions to tilting in diabetes mellitus. Diabetologia 19:433–438

    Google Scholar 

  18. Sundkvist G, Almér L-O, Lilja B (1980) A sensitive orthostatic test on tilt table, useful in the detection of diabetic autonomic neuropathy. Acta Med Scand 656 [Suppl]: 43–45

    Google Scholar 

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Correspondence to: WH. Jost

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Jost, W.H., Rappt, C., König, J. et al. Are heart rate responses reproducible in the tilt-table test?. Clin Investig 72, 996–999 (1994). https://doi.org/10.1007/BF00577743

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  • DOI: https://doi.org/10.1007/BF00577743

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