Title: Tilt training: a new treatment for recurrent neurocardiogenic syncope and severe orthostatic intolerance
Authors: Ector, Hugo ×
Reybrouck, Tony
Heidbuchel, Hein
Gewillig, Marc
Van de Werf, Frans #
Issue Date: Jan-1998
Series Title: Pacing and clinical electrophysiology : PACE vol:21 issue:1 Pt 2 pages:193-6
Abstract: 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.
ISSN: 0147-8389
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Cardiology
Research Group for Cardiovascular and Respiratory Rehabilitation
Cardiovascular Developmental Biology
× corresponding author
# (joint) last author

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