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Tilt Training: A New Treatment for Recurrent Neurocardiogenic Syncope and Severe Orthostatic Intolerance
Abstract
Medical treatment of neurocardiogenic syncope is insufficient in many cases. We have observed a therapeutic effect of repeated head‐up till testing. Therefore, we have started a program of tilt training for heavily symptomatic patients. After hospital admission, they were tilted daily (60° 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.
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Citations
Cited by
Guidelines on management (diagnosis and treatment) of syncope
Brignole, M. (2001) · European Heart Journal · doi:10.1053/euhj.2001.2739 · Cited by 951
RAVIELE, A., GIADA, F., MENOZZI, C., SPECA, G., ORAZI, S., GASPARINI, G., SUTTON, R., & BRIGNOLE, M. (2004) · European Heart Journal · doi:10.1016/j.ehj.2004.06.031 · Cited by 323
Intravascular Extraction of Problematic or Infected Permanent Pacemaker Leads: 1994–1996
BYRD, C. L., WILKOFF, B. L., LOVE, C. J., SELLERS, T. D., TURK, K. T., REEVES, R., YOUNG, R., CREVEY, B., KUTALEK, S. P., FREEDMAN, R., et al. (1999) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.1999.tb00628.x · Cited by 279
Raviele, A., Brignole, M., Sutton, R., Alboni, P., Giani, P., Menozzi, C., & Moya, A. (1999) · Circulation · doi:10.1161/01.cir.99.11.1452 · Cited by 201
Nonpharmacological treatment of reflex syncope
Wieling, W., Colman, N., Krediet, C. T. P., & Freeman, R. (2004) · Clinical Autonomic Research · doi:10.1007/s10286-004-1009-x · Cited by 102
Metadata
- Authors
- ECTOR, H., REYBROUCK, T., HEIDBÜCHEL, H., GEWILLIG, M., & VAN DE WERF, F.
- Venue
- Pacing and Clinical Electrophysiology
- Publisher
- Wiley
- Published
- 1998-01
- Volume
- 21
- Issue
- 1
- Pages
- 193-196
- ISSN
- 0147-8389 (ISSN-L)
- 1540-8159
- OpenAlex
- W2064081793
- Cited by
- 167
- References
- 0
- FWCI
- 8.14
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Tilt Training: A New Treatment for Recurrent Neurocardiogenic Syncope and Severe Orthostatic Intolerance. https://app.cochat.ai/papers/10.1111/j.1540-8159.1998.tb01087.x
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- ECTOR, H., REYBROUCK, T., HEIDBÜCHEL, H., GEWILLIG, M., & VAN DE WERF, F. (1998). Tilt Training: A New Treatment for Recurrent Neurocardiogenic Syncope and Severe Orthostatic Intolerance. Pacing and Clinical Electrophysiology. https://doi.org/10.1111/j.1540-8159.1998.tb01087.x
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