TILT TESTING EVOLVES: FASTER AND STILL ACCURATE

Karolinska University Hospital, Karolinska Institute, Lund University, Libin Cardiovascular Institute, University of Calgary, National Heart & Lung Institute

The article reviews advancements in tilt testing protocols over the years, particularly focusing on the Fast Italian protocol which aims to enhance the efficiency and accuracy of diagnosing reflex syncope. It emphasizes the protocol's ease of use, safety, and cost-effectiveness, suggesting that it could significantly expand the number of healthcare providers capable of performing these tests. The authors argue that this evolution in testing could shift the paradigm of syncope assessment from specialized centers to more general practice settings, thereby improving patient access to care.