Indications and contraindications for head up tilt test (HUTT)

Indications and contraindications for head up tilt test (HUTT)

Indications for HUTT

  1. Recurrent syncope or presyncope
  2. High risk patients with single syncopal episode: e.g. Serious injury with syncope, syncope while driving
  3. No other cause for symptoms by history, examination or cardiovascular and neurological workup
  4. Elderly patients with recurrent, unexplained falls
  5. For the differential diagnosis of:

Convulsive syncope

Orthostatic hypotension

Postural orthostatic tachycardia syndrome

Psychogenic syncope

Hyperventilation syncope

Carotid sinus hypersensitivity

Relative contraindications for HUTT

  1. Severe left ventricular outflow obstruction
  2. Critical mitral stenosis
  3. Severe proximal coronary artery disease
  4. Severe cerebrovascular disease