The purpose of this study is to perform a prospective evaluation of the vasovagal syncope prediction algorithm, called Tilt Test Analyzer, during head up tilt testing tests in one center in the United Kingdom.
Vasovagal syncope (VVS) is a form of neurally-mediated reflex syncope, which is marked by a sudden fall in blood pressure with an associated fall in heart rate often resulting in syncope, head-up tilt (HUT) testing is commonly used to bring information about VVS using ECG and blood pressure monitoring with medical observation. We developed an algorithm, called Tilt Test Analyzer, to predict VVS during HUT based on the simultaneous analysis of heart rate (RR interval), systolic blood pressure (SBP) and an indicator of autonomic modulation represented by heart rate and blood pressure variability (HRV and BPV). The primary objective of this study is to evaluate the VVS prediction algorithm in a prospective cohort of patients in the tilt laboratory The primary endpoint is the VVS prediction algorithm performance by means of measuring the sensitivity and specificity values. The study is designed to test if the prospective analysis of tilt-test patients can reproduce the results previously obtained in the published retrospective analysis on 1155 patients with a similar clinically relevant sensitivity and specificity.
Study Type
OBSERVATIONAL
Enrollment
140
Hammersmith Hospital, Imperial College Healthcare NHS Trust
London, United Kingdom
Sensitivity of the Syncope Prediction Algorithm
Number of tilt-positive participants predicted in the right way by the syncope prediction algorithm
Time frame: Tilt Test with average duration of 1 hour
Specificity of the Syncope Prediction Algorithm
Number of tilt-negative participants identified as negative by the syncope prediction algorithm
Time frame: Tilt Test with average duration of 1 hour
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