<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1409-4142</journal-id>
<journal-title><![CDATA[Revista Costarricense de Cardiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. costarric. cardiol]]></abbrev-journal-title>
<issn>1409-4142</issn>
<publisher>
<publisher-name><![CDATA[Asociación Costarricense de Cardiología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1409-41422018000200008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[La prueba de inclinación (&#8220;Tilt Test&#8221;). 20 años de experiencia en el diagnóstico del Síncope neurocardiogénico Tilt Test: 20 years of experience in the diagnosis of the neurocardiogenic syncope]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Araya Gómez]]></surname>
<given-names><![CDATA[Vivien]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Trejos-Montoya]]></surname>
<given-names><![CDATA[José Andres]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Cardiológico Integral  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Escuela de Ciencias del Movimiento Humano y Calidad de Vida Universidad Nacional  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2018</year>
</pub-date>
<volume>20</volume>
<fpage>8</fpage>
<lpage>15</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-41422018000200008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-41422018000200008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-41422018000200008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo:  Valorar los resultados de las pruebas de inclinación realizadas en un lapso de 2 décadas.  Métodos:  Este es un estudio observacional, descriptivo y retrospectivo. Se analizaron los resultados de las Pruebas de Inclinación (PI) realizadas entre 1997 y 2018 en forma consecutiva por una sola persona, inicialmente en el Hospital Clínica Bíblica, posteriormente en el Instituto del Corazón y finalmente en los últimos 17 años en el Centro Cardiológico Integral.  Resultados:  Se realizaron un total de 2705 pruebas entre los años de 1997 y el 2018. El 60% fue del sexo femenino. Se hicieron 245 pruebas a menores de 20 años (17.3%), 996 pruebas a personas entre 20 y 40 años (36.8%), 969 pruebas a pa cientes entre los 40 y 60 años (35.8%) y a 271 pacientes mayores de 60 años (10%). Del total de la muestra evaluada, 2316 pacientes presentaron un resultado positivo para alguna de los diferentes tipos de respuesta en la prueba de inclinación, equivalente al 85.6%, mientras que 389 pacientes obtuvieron un resultado negativo (respuesta normal), equivalente al 14.4%. En la mayor cantidad de pacientes la positividad de la prueba se presentó en la fase II, 72.7% (1683 pacientes), el 27.3% (633 pacientes) la manifestaron en la fase I. Se presentó una respuesta vasodepresora en 1120 pacientes (48.2%), respuesta mixta en 727 pacientes (31.3%), respuesta cardioinhibidora en 304 casos (13.1%). Además, 69 pacientes pre sentaron una respuesta sugestiva (2.9%) y 104 pacientes tuvieron otros tipos de respuestas (4.5%). De estos últimos, 48% correspondió al síndrome de taquicardia postural ortostática (POTS), 17% a incompetencia cronotrópica, 19% a hipoten sión ortostática y 16% a disautonomía. Un total de 43 pacientes (1,6%) presentaron hipersensibilidad del seno carotídeo.  Conclusiones:  La PI en nuestro medio tiene una adecuada sensibilidad en el diagnóstico del Síncope Neurocardiológico (SNCG) en los diferentes grupos de edad, es un método seguro, fácil de realizar y accesible a la mayoría de las personas que la requieran]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Tilt Test: 20 years of experience in the diagnosis of the neurocardiogenic syncope  Objective:  To evaluate the results of the tilt tests carried out during 2 decades. Methods: This is an observational, descriptive and retrospective study. We analyzed the results of the tilt tests conducted between 1997 and 2018 consecutively by a single person, initially at the &#8220;Hospital Clínica Bíblica&#8221;, later at the &#8220;Instituto del Corazón&#8221; and finally in the last 17 years at the &#8220;Centro Cardiológico Integral&#8221;.  Results:  A total of 2705 tests were carried out between 1997 and 2018. Sixty percent were female. There were 245 tests for people under 20 years (17.3%), 996 tests for people between 20 and 40 years (36.8%), 969 tests for patients between 40 and 60 years (35.8%) and 271 patients older than 60 years (10%). Of the total sample evaluated, 2316 patients presented a positive result for some of the different types of response in the tilt test, equivalent to 85.6%, while 389 patients obtained a negative result (normal response), equivalent to 14.4%. In the largest number of patients, the positivity of the test was presented in phase II, 72.7% (1683 patients), and 27.3% (633 patients) manifested it in phase I. A vasodepressant response was presented in 1120 patients (48.2%), mixed response in 727 patients (31.3%), cardioinhibitory response in 304 cases(13.1%). In addition, 69 patients presented a suggestive response (2.9%) and 104 patients had other types of responses (4.5%). Of the latter, 48% corresponded to orthostatic postural tachycardia syndrome (POTS), 17% to chronotropic incompetence, 19% to orthostatic hypotension and 16% to dysautonomia. A total of 43 patients (1.6%) presented hypersensitivity of the carotid sinus.  Conclusions:  Tilt test in our environment has an adequate sensitivity in the diagnosis of the neurocardiogenic syncope in different age groups, it is a safe method, easy to perform and accessible to most people who require it.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Prueba de inclinación]]></kwd>
<kwd lng="es"><![CDATA[síncope neurocardiogénico]]></kwd>
<kwd lng="es"><![CDATA[síncope]]></kwd>
<kwd lng="es"><![CDATA[disautonomía]]></kwd>
<kwd lng="es"><![CDATA[hipotensión]]></kwd>
<kwd lng="en"><![CDATA[Tilt test]]></kwd>
<kwd lng="en"><![CDATA[neurocardiogenic syncope]]></kwd>
<kwd lng="en"><![CDATA[syncope]]></kwd>
<kwd lng="en"><![CDATA[dysautonomia]]></kwd>
<kwd lng="en"><![CDATA[hypotension]]></kwd>
</kwd-group>
</article-meta>
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