?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Tilt+Table+Test%3A+State+of+The+Art&rft.creator=Bar%C3%B3n-Esquivias%2C+Gonzalo&rft.creator=Mart%C3%ADnez-Rubio%2C+Antoni&rft.subject=Indian+Pacing+and+Electrophysiology+Journal&rft.description=++The+loss+of+consciousness+has+been+a+subject+of+wonder+and+uncertainty+in+humans%2C+and+for+this+reason+it+has+been+the+object+of+medical+investigation+since+the+beginning+of+time.+Even+actually%2C+it+is+certainly+an+unresolved+clinical+problem.+Many+centuries+ago%2C+complicated+exorcisms+and+remedies+were+used+on+these+unfortunate+patients%2C+who+upon+regaining+consciousness+would+find+themselves+soaked+in+miraculous+liquids%2C+ingesting+curative+potions%2C+and+often+on+the+way+to+be+burned+accused+of+being+possessed.+In+the+seventeen+century%2C+physicians+began+to+relate+loss+of+consciousness+and+haemodinamic+changes.+William+Harvey+was+perhaps+the+first+to+describe+a+circulatory+response+(vasovagal+reaction)+during+a+phlebotomy+in+the+year+1628%3A+%E2%80%9C...Yet+it+fear+or+any+other+cause%2C+or+something+do+intervene+through+passion+of+the+mind%2C+so+that+the+heart+do+beat+more+faintly%2C+the+blood+will+be+no+means+pass+through+but+drop+after+drop%E2%80%A6%E2%80%9D1.+During+the+nineteenth+century%2C+loss+of+consciousness+was+the+object+of+studies+and+research%2C+and+the+vagally+mediated+cardioinhibition%2C+as+a+primary+cause%2C+was+noted+by+Foster+who+proposed+that+profound+bradycardia+diminished+cerebral+perfusion+to+a+level+inadequate+to+maintain+consciousness2.+At+this+time%2C+it+was+reported+the+first+use+of+the+tilt-table+test3.+Commonly+referred+to+as+fainting+or+loss+of+consciousness%2C+from+last+century+the+preferred+medical+term+is+syncope%2C+which+itself+is+derived+from+the+Greek+term+%E2%80%9Csyncoptein%E2%80%9D+meaning+%E2%80%9Cto+cut+short%E2%80%9D.+Syncope+is+defined+as+the+sudden+loss+of+consciousness+and+postural+tone+with+spontaneous+recovery.+In+1907%2C+Gowers+was+the+first+person+to+use+the+term+vasovagal+syncope4.+In+1918+was+published+the+work+in+which+Cotton+and+Lewis+described+for+the+first+time+the+clinical+characteristics+that+are+still+used+today+to+recognize+the+syncopal+reaction5.+However%2C+it+was+not+till+1932+when+Lewis+described+this+reaction+as+being+characterized+by+a+combination+of+bradycardia%2C+hypotension%2C+and+syncope%2C+and+he+coined+the+term+vasovagal+syncope+for+the+first+time6.+%0A&rft.publisher=Indian+Pacing+and+Electrophysiology+Group&rft.contributor=Singh%2C+Balbir&rft.contributor=Lokhandwala%2C+Yash&rft.contributor=Francis%2C+Johnson&rft.contributor=Gupta%2C+Anup&rft.date=2003-10&rft.type=Journal+(Paginated)&rft.type=PeerReviewed&rft.format=text%2Fhtml&rft.identifier=http%3A%2F%2Fcogprints.org%2F4250%2F1%2Fesquivias.htm&rft.identifier=++Bar%C3%B3n-Esquivias%2C+Gonzalo+and+Mart%C3%ADnez-Rubio%2C+Antoni++(2003)+Tilt+Table+Test%3A+State+of+The+Art.++%5BJournal+(Paginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F4250%2F