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Sublingual administration of nitrates into the challenge has been shown to be ideal, effective, and safe in this type of age group. The aim of this short article is to make a literature search to show the effectiveness and safety of the pharmacologic challenge through the head-up-tilt-test in pediatrics, focusing a report performed in the nationwide Institute of Cardiology with isosorbide dinitrate.Cirrhotic cardiomyopathy is characterized by the existence of structural and functional cardiac modifications in cli