EHMTI-0253, syncopal migraine: factors that influence the positive response to tilt table testing

Abstract

Results In the syncopal migraine sample, 50.7% of the patients had positive response to the test (developing presyncopal or syncopal symptomatology during the test). The first group presented increased frequency of headache-days per month (9.18 vs. 3.13, p<0.001), more severe headaches (8.1 vs. 6.7, VAS, p<0.05), more expressed anxiety and depression, according to Spilberger test (36.5±1.7 vs. 29.26±1.7, p<0.05) and depression Beck score (8.03±0.09 vs. 5.01±0.6, p<0.05), respectively. The Nijmegen score was very high in the group I (31.56±1.4 vs. 15.29±1.0, p<0.001) indicating the presence of a respiratory dysfunctional syndrome. Conclusion Frequent and severe headaches, increased anxiety and depression, the presence of dysfunctional respiratory syndrome could be the factors that predispose syncopal migraine patients to positive response on tilt table testing, which is an orthostatic stress and indicate autonomic imbalance and increased cardiovascular reactivity. No conflict of interest.