A program of continued daily tilt training resulted in a complete disappearance of syncope in all 13 heavily symptomatic patients with neurocardiogenic syncope.
Observational (n=13)
Does a tilt training program prevent syncope in heavily symptomatic patients with recurrent neurocardiogenic syncope?
A program of continued tilt training can remedy orthostatic intolerance and recurrent neurocardiogenic syncope without the administration of drugs.
Medical treatment of neurocardiogenic syncope is insufficient in many cases. We have observed a therapeutic effect of repeated head-up tilt testing. Therefore, we have started a program of tilt training for heavily symptomatic patients. After hospital admission, they were tilted daily (60 degrees inclination) until syncope, or until a duration of 45-90 minutes (90 sessions in 13 patients). The mean tilt tolerance, at the first diagnostic head-up tilt table test, was 22.3 minutes (st. dev. 10.9). Before hospital discharge, 12/13 patients could sustain the full duration of tilt table testing without any symptom. In one patient syncope persisted. The patients were instructed to continue a program of daily tilt training at home, by standing against a wall for 30 minutes, one or two times per day. This resulted in a complete disappearance of syncope in all 13 patients. Orthostatic intolerance and the excessive autonomic reflex activity of neurocardiogenic syncope can be remedied by a program of continued tilt training, without the administration of drugs.
Ector et al. (Thu,) conducted a observational in Recurrent neurocardiogenic syncope and severe orthostatic intolerance (n=13). Tilt training was evaluated on Complete disappearance of syncope. A program of continued daily tilt training resulted in a complete disappearance of syncope in all 13 heavily symptomatic patients with neurocardiogenic syncope.