Tilt training is an effective first-line therapy for neurally mediated syncope, with about 50% of patients achieving a negative result on their second consecutive tilt test.
Does tilt training therapy prevent syncope in patients with neurally mediated syncope?
Tilt training is highlighted as an effective first-line therapy for restoring abnormal autonomic orthostatic reflexes and preventing neurally mediated syncope.
Clinical experience with repeated tilt testing and standing training has shown that this procedure can be used as a new therapy for the restoration of abnormal autonomic orthostatic reflexes. The introduction of tilt training therapy for neurally mediated syncope is a new and effective treatment. This new therapy has been used recently in several centres with excellent results. Since syncope is a severe social handicap for the patient, successful therapy will normalise the functional status and restore self-confidence. The use of tilt training can be considered as first-line therapy in this disorder. In the majority of the studies on tilt training, patients remain free of syncope during active treatment with this therapy. In about 50% of the patients with neurally mediated syncope already the second consecutive tilt test became negative. This therapeutic effect of in-hospital repeated tilt tests is sustained by continued standing training at home.
Reybrouck et al. (Sat,) conducted a review in Neurally mediated syncope. Tilt training (repeated tilt testing and standing training) was evaluated on Freedom from syncope / negative tilt test. Tilt training is an effective first-line therapy for neurally mediated syncope, with about 50% of patients achieving a negative result on their second consecutive tilt test.
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