A contemporary review of the head-up tilt test: Utility and limitations

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dc.contributor.authorUdyavar, Ameyaen_US
dc.contributor.authorShenthar, Jayaprakashen_US
dc.contributor.authorNaik, Ajay Madhukaren_US
dc.contributor.authorKhanra, Dibbendhuen_US
dc.contributor.authorRamalingam, Vadiveluen_US
dc.contributor.authorSinghal, Rahulen_US
dc.contributor.authorChoudhary, Dineshen_US
dc.contributor.authorGupta, Prabha Ninien_US
dc.contributor.authorRao, B Hygriven_US
dc.contributor.authorMehrotra, Saurabhen_US
dc.contributor.authorArora, Vanitaen_US
dc.contributor.authorKathuria, Sanjeeven_US
dc.contributor.authorSuri, Pawanen_US
dc.contributor.authorBenditt, Daviden_US
dc.contributor.authorSutton, Richarden_US
dc.date.accessioned2025-08-13T11:15:22Z
dc.date.available2025-08-13T11:15:22Z
dc.date.issued2025-06
dc.description.abstractThe Head-Up Tilt Test (HUTT) has been widely used for the past four decades as part of the overall assessment of the potential causes of collapse in patients with recurring transient loss of consciousness (TLOC) of unknown cause. The ability of a positive HUTT often to reproduce patient symptoms and illustrate to the patient that the physician is confident of the diagnosis have been major advances in clinical TLOC management. Tilt testing has been particularly important in understanding and diagnosing vasovagal syncope (VVS) and orthostatic hypotension. Despite HUTT having great clinical utility, different HUTT protocols and drug provocations result in different test yields. Limited HUTT reproducibility has led some researchers to criticize HUTT utility. As in most medical tests, limitations are part of the test. Herein, we provide a contemporary review of HUTT’s utility in diagnosing and managing various TLOC disorders with intent to clarify its role in clinical practice.en_US
dc.identifier.affiliationsP.D. Hinduja National Hospital, Mahim, Mumbai, Indiaen_US
dc.identifier.affiliationsSri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Indiaen_US
dc.identifier.affiliationsArrhythmia and Heart Failure Device Division, Marengo CIMS Hospital, Indiaen_US
dc.identifier.affiliationsQueen Elizabeth Hospital, Birmingham, United Kingdomen_US
dc.identifier.affiliationsDepartment of Cardiology, Velammal Medical College Hospital, Madurai, Indiaen_US
dc.identifier.affiliationsCardiology and Cardiac Electrophysiology, Fortis Hospital, Jaipur, Indiaen_US
dc.identifier.affiliationsCardiology, S P Medical College, Bikaner, Rajasthan, Indiaen_US
dc.identifier.affiliationsSri Ramakrishna Mission Hospital Trivandrum, Indiaen_US
dc.identifier.affiliationsDivision of Pacing &Electrophysiology, KIMS Hospitals, Hyderabad, Indiaen_US
dc.identifier.affiliationsCardiology, PGIMER, Chandigarh, Indiaen_US
dc.identifier.affiliationsCardiac Electrophysiologist, Indraprastha Apollo Hospital, New Delhi, Indiaen_US
dc.identifier.affiliationsGIPMER, New Delhi, Indiaen_US
dc.identifier.affiliationsGlobal Hospital, Jalandhar, Punjab, Indiaen_US
dc.identifier.affiliationsArrhythmia Service, Cardiovascular Division, Department of Medicine, University of Minnesota, Minneapolis, MN, USAen_US
dc.identifier.affiliationsDept. of Cardiology, National Heart & Lung Institute, Hammersmith Hospital Campus, Imperial College, London, United Kingdomen_US
dc.identifier.citationUdyavar Ameya, Shenthar Jayaprakash, Naik Ajay Madhukar, Khanra Dibbendhu, Ramalingam Vadivelu, Singhal Rahul, Choudhary Dinesh, Gupta Prabha Nini, Rao B Hygriv, Mehrotra Saurabh, Arora Vanita, Kathuria Sanjeev, Suri Pawan, Benditt David, Sutton Richard . A contemporary review of the head-up tilt test: Utility and limitations. Indian Heart Journal. 2025 Jun; 77(3): 243-251en_US
dc.identifier.issn0019-4832
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/253346
dc.languageenen_US
dc.publisherElsevieren_US
dc.relation.issuenumber3en_US
dc.relation.volume77en_US
dc.source.urihttps://doi.org/10.1016/j.ihj.2025.03.014en_US
dc.subjectHead-up tilt testen_US
dc.subjectSyncopeen_US
dc.subjectVasovagal syncopeen_US
dc.subjectOrthostatic hypotensionen_US
dc.subjectPsychogenic pseudosyncopeen_US
dc.titleA contemporary review of the head-up tilt test: Utility and limitationsen_US
dc.typeJournal Articleen_US
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