Clinical Characteristics and Long-Term Follow-up Results of Patients with Vasovagal Syncope who Underwent Tilt Table Test

Objective: The aim of this study is to investigate the demographic and clinical characteristics of patients with initial diagnosis of vaso- vagal syncope who had undergone tilt table test and to compare the prevalence of pre and post-treatment events. Material and Method: Seventy-four patients who had undergone tilt table test with accessible follow-up data were included in the study. Tilt table test results, demographic and clinical data of the patients, and recommended and/or applied treatments were recor- ded. The changes in symptoms of the patients were compared before tilt table test and at the follow-up period. Results: The mean age of the patients was 37.7±16.9% and 52.7% were male. All of the patients had a symptom comorbid with the event. The most frequent comorbid symptom was palpitation with a rate of 71.6%. 40.5% of the patients had positive tilt table test re- sults. Tilt table test-positive patients had low body mass indexes and high alcohol use rates. 76.7% of tilt table test-positive patients had no occurance of any event during treatment and follow-up. In tilt table test-negative patients, the frequency of events was significantly reduced with lifestyle modification suggestions. Conclusions: Tilt table test is useful for diagnosis in patients with suspected vasovagal syncope. Treatment of tilt table test-positive pa- tients in accordance with current guidelines reduces the frequency of events at high rates. Lifestyle modification should be recommen- ded to tilt table test-negative patients with suspected vasovagal syncope, taking the false negativeness of the test into account.