<HTML><BODY style="word-wrap: break-word; -khtml-nbsp-mode: space; -khtml-line-break: after-white-space; ">Español - Portugués<DIV><BR class="khtml-block-placeholder"></DIV><DIV>Español</DIV><DIV><BR class="khtml-block-placeholder"></DIV><DIV>El Dr. Ariel Szyszko desde Argentina pregunta</DIV><DIV><BR class="khtml-block-placeholder"></DIV><DIV>- <SPAN lang="EN-US" style=""><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="border-collapse: collapse; font-size: 13.3333px;">En el síncope con una anamnesis clara de causa vasovagal, es indispensable la realización de un TILT TEST?.</SPAN></FONT></SPAN><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="border-collapse: collapse; font-size: 13.3333px;"></SPAN></FONT><SPAN class="Apple-style-span" style="border-collapse: collapse;"></SPAN></DIV><DIV><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="border-collapse: collapse; font-size: 13.3333px;"><BR class="khtml-block-placeholder"></SPAN></FONT></DIV><DIV><SPAN class="Apple-style-span" style="border-collapse: collapse;"><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="font-size: 13.3333px;">El Dr. Stephen Hanmmill desde EEUU responde</SPAN></FONT></SPAN></DIV><DIV><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="border-collapse: collapse; font-size: 13.3333px;"><BR class="khtml-block-placeholder"></SPAN></FONT></DIV><DIV><SPAN class="Apple-style-span" style="border-collapse: collapse;"><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="font-size: 13.3333px;">- <SPAN lang="EN-US" style="">No es fundamental realizar tilt test en los pacientes con historia clásica <SPAN lang="EN-US" style="">de síncope vasovagal, suponiendo que </SPAN></SPAN></SPAN></FONT></SPAN></DIV><DIV><SPAN class="Apple-style-span" style="border-collapse: collapse;"><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="font-size: 13.3333px;"><SPAN lang="EN-US" style=""><SPAN lang="EN-US" style="; font-family: Arial; ">los aspectos restantes de su historia <SPAN lang="EN-US" style="">sean normales (por ejemplo, sin historia familiar de muerte súbita) y su<SPAN lang="EN-US" style=""></SPAN></SPAN></SPAN></SPAN></SPAN></FONT></SPAN></DIV><DIV><SPAN class="Apple-style-span" style="border-collapse: collapse;"><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="font-size: 13.3333px;"><SPAN lang="EN-US" style=""><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style=""><SPAN lang="EN-US" style="; font-family: Arial; ">examen físico y ECG son normales. Podría optar por obtener ecocardiograma si <SPAN lang="EN-US" style="">hubiera alguna preocupación por </SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></FONT></SPAN></DIV><DIV><SPAN class="Apple-style-span" style="border-collapse: collapse;"><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="font-size: 13.3333px;"><SPAN lang="EN-US" style=""><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style=""><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style="; font-family: Arial; ">la historia clínica, el examen físico o las <SPAN lang="EN-US" style="">pruebas básicas.<SPAN lang="EN-US" style=""><SPAN lang="EN-US" style=""></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></FONT></SPAN></DIV><DIV><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="border-collapse: collapse; font-size: 13.3333px;"><BR class="khtml-block-placeholder"></SPAN></FONT></DIV><DIV><SPAN class="Apple-style-span" style="border-collapse: collapse;"><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="font-size: 13.3333px;"><SPAN lang="EN-US" style=""><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style=""><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style=""><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style="; border-collapse: collapse; font-family: Arial; font-size: 13.3333px; ">Stephen C. Hammill, MD<SPAN lang="EN-US" style=""></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></FONT></SPAN></DIV><DIV><SPAN class="Apple-style-span" style="border-collapse: collapse;"><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="font-size: 13.3333px;"><SPAN lang="EN-US" style=""><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style=""><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style=""><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style="; border-collapse: collapse; font-family: Arial; font-size: 13.3333px; "><SPAN lang="EN-US" style="; font-family: Arial; ">Professor of Medicine, Mayo Clinic College of Medicine<SPAN lang="EN-US" style=""></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></FONT></SPAN></DIV><DIV><SPAN class="Apple-style-span" style="border-collapse: collapse;"><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="font-size: 13.3333px;"><SPAN lang="EN-US" style=""><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style=""><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style=""><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style="; border-collapse: collapse; font-family: Arial; font-size: 13.3333px; "><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style="; font-family: Arial; ">Director, Electrocardiography Laboratory<SPAN lang="EN-US" style=""><A href="mailto:hammill.stephen@mayo.edu"><SPAN style="text-decoration: none; "><FONT class="Apple-style-span" color="#000000"></FONT></SPAN></A></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></FONT></SPAN></DIV><DIV><SPAN class="Apple-style-span" style="border-collapse: collapse;"><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="font-size: 13.3333px;"><SPAN lang="EN-US" style=""><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style=""><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style=""><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style="; border-collapse: collapse; font-family: Arial; font-size: 13.3333px; "><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style="; font-family: Arial; "><A href="mailto:hammill.stephen@mayo.edu"><SPAN style="text-decoration: none; ; color: rgb(0, 0, 238); font-family: Arial; -khtml-text-decorations-in-effect: underline; "><FONT class="Apple-style-span" color="#000000">hammill.stephen@mayo.edu</FONT></SPAN></A></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN><SPAN class="Apple-style-span" style="text-decoration: underline;"></SPAN><FONT class="Apple-style-span" face="Helvetica"></FONT></SPAN></FONT></SPAN></DIV><DIV><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="border-collapse: collapse; font-size: 13.3333px;"><BR class="khtml-block-placeholder"></SPAN></FONT></DIV><DIV><SPAN class="Apple-style-span" style="border-collapse: collapse;"><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="font-size: 13.3333px;"><FONT class="Apple-style-span" face="Helvetica"><FONT class="Apple-style-span" face="Arial">---------------------</FONT></FONT></SPAN></FONT></SPAN></DIV><DIV><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="border-collapse: collapse; font-size: 13.3333px;"><BR class="khtml-block-placeholder"></SPAN></FONT></DIV><DIV><SPAN class="Apple-style-span" style="border-collapse: collapse;"><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="font-size: 13.3333px;"><FONT class="Apple-style-span" face="Helvetica"><FONT class="Apple-style-span" face="Arial">Portugués</FONT></FONT></SPAN></FONT></SPAN></DIV><DIV><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="border-collapse: collapse; font-size: 13.3333px;"><BR class="khtml-block-placeholder"></SPAN></FONT></DIV><DIV><SPAN class="Apple-style-span" style="border-collapse: collapse;"><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="font-size: 13.3333px;"><FONT class="Apple-style-span" face="Helvetica"><FONT class="Apple-style-span" face="Arial">Dr. Ariel Szyszko de Argentina pergunta</FONT></FONT></SPAN></FONT></SPAN></DIV><DIV><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="border-collapse: collapse; font-size: 13.3333px;"><BR class="khtml-block-placeholder"></SPAN></FONT></DIV><DIV><SPAN class="Apple-style-span" style="border-collapse: collapse;"><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="font-size: 13.3333px;"><FONT class="Apple-style-span" face="Helvetica"><FONT class="Apple-style-span" face="Arial"><SPAN lang="EN-US" style="; font-family: Arial; ">- </SPAN><SPAN lang="EN-US" style="">Na síncope que tem anamese clara de origem vasovagal é necessário realizar o TILT Teste?</SPAN><FONT class="Apple-style-span" face="Helvetica"></FONT></FONT></FONT></SPAN></FONT></SPAN></DIV><DIV><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="border-collapse: collapse; font-size: 13.3333px;"><BR class="khtml-block-placeholder"></SPAN></FONT></DIV><DIV><SPAN class="Apple-style-span" style="border-collapse: collapse;"><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="font-size: 13.3333px;"><FONT class="Apple-style-span" face="Helvetica"><FONT class="Apple-style-span" face="Arial"><FONT class="Apple-style-span" face="Helvetica"><FONT class="Apple-style-span" face="Arial">Dr.Stephen Hanmmill de U.S.A. responde</FONT></FONT></FONT></FONT></SPAN></FONT></SPAN></DIV><DIV><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="border-collapse: collapse; font-size: 13.3333px;"><BR class="khtml-block-placeholder"></SPAN></FONT></DIV><DIV><SPAN class="Apple-style-span" style="border-collapse: collapse;"><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="font-size: 13.3333px;"><FONT class="Apple-style-span" face="Helvetica"><FONT class="Apple-style-span" face="Arial"><FONT class="Apple-style-span" face="Helvetica"><FONT class="Apple-style-span" face="Arial">- <SPAN lang="EN-US" style="">Não é essencial realizar um tilt teste num paciente com história clássica de síncope vasovagal assumindo que os </SPAN></FONT></FONT></FONT></FONT></SPAN></FONT></SPAN></DIV><DIV><SPAN class="Apple-style-span" style="border-collapse: collapse;"><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="font-size: 13.3333px;"><FONT class="Apple-style-span" face="Helvetica"><FONT class="Apple-style-span" face="Arial"><FONT class="Apple-style-span" face="Helvetica"><FONT class="Apple-style-span" face="Arial"><SPAN lang="EN-US" style="; font-family: Arial; ">aspectos restantes da sua história sejam normais (tais como ausência de morte súbita na família) e seu exame físico </SPAN></FONT></FONT></FONT></FONT></SPAN></FONT></SPAN></DIV><DIV><SPAN class="Apple-style-span" style="border-collapse: collapse;"><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="font-size: 13.3333px;"><FONT class="Apple-style-span" face="Helvetica"><FONT class="Apple-style-span" face="Arial"><FONT class="Apple-style-span" face="Helvetica"><FONT class="Apple-style-span" face="Arial"><SPAN lang="EN-US" style="; font-family: Arial; ">e ECG sejam normais. Eu poderia obter um ecocardiograma se alguma preocupação for levantada pela história, exame </SPAN></FONT></FONT></FONT></FONT></SPAN></FONT></SPAN></DIV><DIV><SPAN class="Apple-style-span" style="border-collapse: collapse;"><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="font-size: 13.3333px;"><FONT class="Apple-style-span" face="Helvetica"><FONT class="Apple-style-span" face="Arial"><FONT class="Apple-style-span" face="Helvetica"><FONT class="Apple-style-span" face="Arial"><SPAN lang="EN-US" style="; font-family: Arial; ">ou teste basais.<SPAN lang="EN-US" style=""><SPAN lang="EN-US" style=""></SPAN></SPAN></SPAN></FONT></FONT></FONT></FONT></SPAN></FONT></SPAN></DIV><DIV><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="border-collapse: collapse; font-size: 13.3333px;"><BR class="khtml-block-placeholder"></SPAN></FONT></DIV><DIV><SPAN class="Apple-style-span" style="border-collapse: collapse;"><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="font-size: 13.3333px;"><FONT class="Apple-style-span" face="Helvetica"><FONT class="Apple-style-span" face="Arial"><FONT class="Apple-style-span" face="Helvetica"><FONT class="Apple-style-span" face="Arial"><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style="; border-collapse: collapse; font-family: Arial; font-size: 13.3333px; ">Stephen C. Hammill, MD<SPAN lang="EN-US" style=""></SPAN></SPAN></SPAN></SPAN></FONT></FONT></FONT></FONT></SPAN></FONT></SPAN></DIV><DIV><SPAN class="Apple-style-span" style="border-collapse: collapse;"><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="font-size: 13.3333px;"><FONT class="Apple-style-span" face="Helvetica"><FONT class="Apple-style-span" face="Arial"><FONT class="Apple-style-span" face="Helvetica"><FONT class="Apple-style-span" face="Arial"><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style="; border-collapse: collapse; font-family: Arial; font-size: 13.3333px; "><SPAN lang="EN-US" style="; font-family: Arial; ">Professor of Medicine, Mayo Clinic College of Medicine<SPAN lang="EN-US" style=""></SPAN></SPAN></SPAN></SPAN></SPAN></FONT></FONT></FONT></FONT></SPAN></FONT></SPAN></DIV><DIV><SPAN class="Apple-style-span" style="border-collapse: collapse;"><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="font-size: 13.3333px;"><FONT class="Apple-style-span" face="Helvetica"><FONT class="Apple-style-span" face="Arial"><FONT class="Apple-style-span" face="Helvetica"><FONT class="Apple-style-span" face="Arial"><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style="; border-collapse: collapse; font-family: Arial; font-size: 13.3333px; "><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style="; font-family: Arial; ">Director, Electrocardiography Laboratory<SPAN lang="EN-US" style=""><A href="mailto:hammill.stephen@mayo.edu"><SPAN style="text-decoration: none; "><FONT class="Apple-style-span" color="#000000"></FONT></SPAN></A></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN></FONT></FONT></FONT></FONT></SPAN></FONT></SPAN></DIV><DIV><SPAN class="Apple-style-span" style="border-collapse: collapse;"><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="font-size: 13.3333px;"><FONT class="Apple-style-span" face="Helvetica"><FONT class="Apple-style-span" face="Arial"><FONT class="Apple-style-span" face="Helvetica"><FONT class="Apple-style-span" face="Arial"><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style="; border-collapse: collapse; font-family: Arial; font-size: 13.3333px; "><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style="; font-family: Arial; "><SPAN lang="EN-US" style="; font-family: Arial; "><A href="mailto:hammill.stephen@mayo.edu"><SPAN style="text-decoration: none; ; color: rgb(0, 0, 238); font-family: Arial; -khtml-text-decorations-in-effect: underline; "><FONT class="Apple-style-span" color="#000000">hammill.stephen@mayo.edu</FONT></SPAN></A></SPAN></SPAN></SPAN></SPAN></SPAN></SPAN><SPAN class="Apple-style-span" style="text-decoration: underline;"></SPAN><FONT class="Apple-style-span" face="Helvetica"></FONT></FONT></FONT></FONT></FONT></SPAN></FONT></SPAN></DIV><DIV><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="border-collapse: collapse; font-size: 13.3333px;"><BR class="khtml-block-placeholder"></SPAN></FONT></DIV><DIV><SPAN class="Apple-style-span" style="border-collapse: collapse;"><FONT class="Apple-style-span" face="Arial" size="4"><SPAN class="Apple-style-span" style="font-size: 13.3333px;"><FONT class="Apple-style-span" face="Helvetica"><FONT class="Apple-style-span" face="Arial"><FONT class="Apple-style-span" face="Helvetica"><FONT class="Apple-style-span" face="Arial"><FONT class="Apple-style-span" face="Helvetica"><FONT class="Apple-style-span" face="Arial"><BR></FONT></FONT></FONT></FONT></FONT></FONT></SPAN></FONT></SPAN><DIV> <SPAN class="Apple-style-span" style="border-collapse: separate; border-spacing: 0px 0px; color: rgb(0, 0, 0); font-family: Helvetica; font-size: 12px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; text-align: auto; -khtml-text-decorations-in-effect: none; text-indent: 0px; -apple-text-size-adjust: auto; text-transform: none; orphans: 2; white-space: normal; widows: 2; word-spacing: 0px; "><DIV style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">--</DIV><DIV style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">Dr.<SPAN class="Apple-converted-space"> </SPAN>Sergio<SPAN class="Apple-converted-space"> </SPAN>Dubner</DIV><DIV style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">President<SPAN class="Apple-converted-space"> </SPAN>of<SPAN class="Apple-converted-space"> </SPAN>Scientific<SPAN class="Apple-converted-space"> </SPAN>Committee</DIV><DIV style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 13px/normal Lucida Grande; min-height: 16px; ; font-family: Lucida Grande; font-size: 13px; "><BR style="font-family: Lucida Grande; font-size: 13px; "></DIV><DIV style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">Dr.<SPAN class="Apple-converted-space"> </SPAN>Edgardo<SPAN class="Apple-converted-space"> </SPAN>Schapachnik</DIV><DIV style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">President<SPAN class="Apple-converted-space"> </SPAN>of<SPAN class="Apple-converted-space"> </SPAN>Steering<SPAN class="Apple-converted-space"> </SPAN>Committee</DIV><DIV><BR class="khtml-block-placeholder"></DIV><DIV><BR class="khtml-block-placeholder"></DIV><BR class="Apple-interchange-newline"></SPAN> </DIV><BR></DIV></BODY></HTML>