#Isdn sub linguan untuk series

A major problem with the use of ambulatory electrocardiographic (Holter) monitoring in the diagnosis of arrhythmias is that symptomatic correlation with arrhythmias is rarely found (only 4% of patients). In the remaining patients, arrhythmia detection is a central issue. When a cause of syncope is established, a history and physical examination lead to the identification of 56% to 85% of the causes. Studies in the 1980s have shown that a cause of syncope is not diagnosed in as many as 47% of the patients presenting with this symptom. Specific selection criteria were used in the case of prolonged electrocardiographic monitoring, in which all studies had to have performed at least 12 hours of monitoring.

#Isdn sub linguan untuk series

Published studies on the evaluation of syncope in the English language.Ĭohort studies and case series of patients presenting with syncope and focused studies of various diagnostic tests such as prolonged electrocardiographic monitoring, electrophysiologic studies, and upright tilt testing. To review the studies on diagnostic evaluation of syncope and to provide an approach to the diagnostic testing and management of this condition. (Med J Indones 2006 15:24-9)Keywords: Syncope, vasovagal, tilt table test, nitrate These results give a reasonable basic for ISDN usage as provocative drug of TTT. In conclusion sublingual ISDN spray during TTT of young healthy adult subject changes haemodynamic measures but did not cause syncope.

Although, the systolic, diastolic, and mean arterial blood pressure were significantly decreased and the heart rate significantly increased after ISDN administration, but the changes were not sufficient to cause syncopal event. None of 17 subjects experienced of syncope.

The haemodynamic changes were observed during baseline and provocative phase. Seventeen young healthy adult subjects (age of 28.6 ± 4.7 year old, and 14 males) underwent TTT using 400 μg ISDN spray sublingually as a provocative drug. Since isoprenaline as a standard provocative drug of TTT is hard to be found in Indonesia, we study the haemodynamic effect of isosorbide dinitrate (ISDN) which has similar venous pooling effect with isoprenaline. Tilt table test (TTT) is the only method to diagnose vasovagal syncope. Vasovagal syncope is a common health problem in young adult population.