Tilted ECG - An unusual tilt test response

Tilt testing is a commonly used diagnostic tool to evaluate syncope of undetermined etiology. We hereby describe a twelve year old male child who developed presyncope during provocative head up tilt testing along with ST segment elevation in cardiac monitor during presyncope. Patient underwent repea...

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Main Authors: Anunay Gupta, MD, DM, Neeraj Parakh, MD, DM, Rajnish Juneja, MD, DM
Format: Article
Language:English
Published: Elsevier 2017-03-01
Series:Indian Pacing and Electrophysiology Journal
Online Access:http://www.sciencedirect.com/science/article/pii/S0972629216314310
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author Anunay Gupta, MD, DM
Neeraj Parakh, MD, DM
Rajnish Juneja, MD, DM
author_facet Anunay Gupta, MD, DM
Neeraj Parakh, MD, DM
Rajnish Juneja, MD, DM
author_sort Anunay Gupta, MD, DM
collection DOAJ
description Tilt testing is a commonly used diagnostic tool to evaluate syncope of undetermined etiology. We hereby describe a twelve year old male child who developed presyncope during provocative head up tilt testing along with ST segment elevation in cardiac monitor during presyncope. Patient underwent repeat head up tilt testing along with holter monitoring which showed a left bundle branch block escape rhythm. Hence development of ST elevation was due to the improper filter application in single lead ECG monitor. This case highlights the importance of filters in electrocardiographic monitoring.
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spelling doaj.art-9199d6a0cdb646b2a189e6e23ca272b42022-12-21T21:46:32ZengElsevierIndian Pacing and Electrophysiology Journal0972-62922017-03-01172484910.1016/j.ipej.2017.03.004Tilted ECG - An unusual tilt test responseAnunay Gupta, MD, DMNeeraj Parakh, MD, DMRajnish Juneja, MD, DMTilt testing is a commonly used diagnostic tool to evaluate syncope of undetermined etiology. We hereby describe a twelve year old male child who developed presyncope during provocative head up tilt testing along with ST segment elevation in cardiac monitor during presyncope. Patient underwent repeat head up tilt testing along with holter monitoring which showed a left bundle branch block escape rhythm. Hence development of ST elevation was due to the improper filter application in single lead ECG monitor. This case highlights the importance of filters in electrocardiographic monitoring.http://www.sciencedirect.com/science/article/pii/S0972629216314310
spellingShingle Anunay Gupta, MD, DM
Neeraj Parakh, MD, DM
Rajnish Juneja, MD, DM
Tilted ECG - An unusual tilt test response
Indian Pacing and Electrophysiology Journal
title Tilted ECG - An unusual tilt test response
title_full Tilted ECG - An unusual tilt test response
title_fullStr Tilted ECG - An unusual tilt test response
title_full_unstemmed Tilted ECG - An unusual tilt test response
title_short Tilted ECG - An unusual tilt test response
title_sort tilted ecg an unusual tilt test response
url http://www.sciencedirect.com/science/article/pii/S0972629216314310
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