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Record W2442996298

Tilt testing for syncope: a reappraisal.

2005· article· en· W2442996298 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenuePubMed · 2005
Typearticle
Languageen
FieldMedicine
TopicCardiovascular Syncope and Autonomic Disorders
Canadian institutionsLibin Cardiovascular Institute of AlbertaUniversity of Calgary
Fundersnot available
KeywordsMedicineSyncope (phonology)Tilt table testIntensive care medicineGold standard (test)Observational studyDiagnostic testPhysical medicine and rehabilitationPhysical therapyPediatricsInternal medicineBlood pressureHeart rate
DOInot available

Abstract

fetched live from OpenAlex

PURPOSE OF REVIEW: Tilt-table tests have provided a diagnostic window on the most common cause of syncope, the common faint. The purpose of this review is to summarize the major contributions of tilt tests and provide a critical assessment of the true validity and usefulness of this diagnostic test. RECENT FINDINGS: Tilt-table tests have provided mixed benefits in the field of neurally mediated syncope. They have greatly improved informed care of syncope patients and have led to a revived interest in the field. They have provided study populations having at least one objective finding in common for diagnostic studies, long-term observational studies, and randomized clinical trials. Tilt tests have been used as platforms for physiologic studies and pilot treatment studies. However, more specific benefits have proven illusive. The main problem is that the neurally mediated syncope syndrome is defined by the test, rather than by evidence-based and widely accepted clinical criteria. Tilt tests have a complex mix of significant methodological variables, have not been validated against gold standard populations, are only moderately reproducible, do not provide prognostic predictive power, and have not been shown useful in selecting efficacious therapies. It may be difficult to achieve important advances in the field until a clinical reflex syncope syndrome is defined by evidence-based diagnostic criteria. SUMMARY: Tilt tests have made neurally mediated syncope amenable to clinical study, but their true usefulness will only be known when an evidence-based, widely accepted definition of this syndrome is developed.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Other design · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.988
Threshold uncertainty score0.358

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.037
GPT teacher head0.254
Teacher spread0.216 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it