A repeated tilt training program consisting of 2 sessions per day for 4 weeks successfully prevented syncope induction and clinical symptoms over a 1-year follow-up in a patient with refractory syncope.
Case Report (n=1)
No
Does repeated tilt training prevent symptoms in a patient with malignant neurocardiogenic syncope refractory to medical therapy?
Repeated home tilt training may be an effective therapy for malignant neurocardiogenic syncope refractory to medical treatment.
Recent reports have shown that repeated tilt-table testing or tilt training is a very effective therapy for the treatment of neurocardiogenic syncope induced by head-up tilt testing. The present patient experienced repeated syncopal or presyncopal attacks and had shown prolonged asystole on an electrocardiogram during syncope. The presyncope could be reproducibly induced by head-up tilt testing. Oral propranolol and/or disopyramide therapies failed to prevent his symptoms. Tilt training (2 sessions/day) was repeated every day for 4 weeks at home, and then head-up tilt testing was performed again. The syncope or presyncope was not induced by head-up tilt testing. The patient has continued with this training and has had no symptoms during the follow-up period of 1 year.
Numata et al. (Sat,) conducted a case report in Malignant neurocardiogenic syncope (n=1). Repeated tilt training program was evaluated on Syncope or presyncope induced by head-up tilt testing and symptom recurrence. A repeated tilt training program consisting of 2 sessions per day for 4 weeks successfully prevented syncope induction and clinical symptoms over a 1-year follow-up in a patient with refractory syncope.
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