Diagnostic Power of Head-Up Tilt Test Enhanced by Autonomic ECG Parameters and Beat-to-Beat Hemodynamic Monitoring by Mathias Klemm, Antonia Kellnar, Dominik Naumann, Stefan Brunner, Christopher Stremmel

“…While beat-to-beat blood pressure monitoring is already recommended by current syncope guidelines, we propose the additional evaluation of autonomic ECG parameters as a valuable extension to standard protocols.…”
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Multicentre open label randomised controlled trial of immediate enhanced ambulatory ECG monitoring versus standard monitoring in acute unexplained syncope patients: the ASPIRED stu... by Steve Goodacre, Praveen Thokala, Neil Grubb, Chris Lang, Rachel O’Brien, Christopher J Weir, Trudie Lobban, Matthew J Reed, Nicola Freeman, Julia Boyd, Lynn Dinsmore, Caroline Blackstock, Imad Adamestam, Pam Macrae, Robert Hannigan

“…This strategy has the potential to change current syncope management from low diagnostic yield Holter to higher yield ambulatory monitoring, reduce episodes of syncope, reduce risk of recurrence and its potential serious consequences, reduce hospital admissions, reduce overall health costs and increase quality of life by allowing earlier diagnosis, treatment and exclusion of clinically important arrhythmias.Methods and analyses This is a UK open prospective parallel group multicentre randomised controlled trial of an immediate 14-day ambulatory patch heart monitor vs standard care in 2234 patients presenting acutely with unexplained syncope. …”
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