Head up tilt testing: An appraisal of its current role in the management of patients with syncope

Paula Macedo, Luiz Roberto Leite, Samuel J. Asirvatham, Denise Tessariol Hachul, Leopoldo Luiz Dos Santos-Neto, Win Kuang Shen

Research output: Contribution to journalReview article


Head up tilt testing (HTT) is now commonly used to investigate otherwise unexplained syncope and presyncope. This test has been used for over 20 years primarily to diagnose neurally mediated syncope, but HTT's exact role in the diagnostic process remains uncertain. Recognized limitations include poor reproducibility, lack of prognostic role, and insufficient randomized studies to guide therapeutic choice. In this review, we describe the indications and methods recommended by present guidelines on utilizing HTT. In addition, present criticisms and limitations of this test, along with future perspectives, are outlined.

Original languageEnglish (US)
JournalJournal of Atrial Fibrillation
Issue number6
StatePublished - Jul 1 2011


ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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