Tilt Training for Recurrent Neurocardiogenic Syncope: Effectiveness, Patient Compliance, and Scheduling the Frequency of Training Sessions: Effectiveness, Patient Compliance, and Scheduling the Frequency of Training Sessions
Open accessAbstract
Unsatisfactory results obtained with medical therapy and dual-chamber pacing for prevention of recurrent neurocardiogenic syncope necessitated the development of new treatment modalities. Tilt-training, a novel treatment for recurrent neurocardiogenic syncope based on exercise sessions with prolonged upright posture (either on a tilt-table or standing on foot against a wall), was shown to be effective in preventing the recurrence of neurocardiogenic syncope. The purpose of this study was to demonstrate the long-term beneficial effects of a transient tilt training program lasting 2 months. Thirty-two patients with recurrent neurocardiogenic syncope (mean number of syncope episodes in the last 6 months was 3.4 +/- 2.3) constituted the study group. All of the patients were tilt test positive. The patients were taught a tilt training program with 2 phases (in-hospital training with repeated tilt procedures until 3 consecutive negative results were obtained and home exercises with standing against a wall) and home exercises lasted a maximum of 2 months. After this training program, the patients received no treatment and were followed for the recurrence of syncope. At the end of the follow-up period (376 +/- 45 days), 81% of the patients were free of recurrent syncope. This study revealed that similar successful results can also be obtained with a transient tilt training program as a first line treatment strategy. Less interference with the daily activities of the patients is the major advantage of this strategy. The ease of performance and high effectiveness rate will most likely result in more frequent utilization of this treatment modality.
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Most controlled trials reported no significant effect of tilt training.
“most controlled trials reported no significant effect. 268-272”
From 2018 ESC Guidelines for the diagnosis and management of syncope (2018) · cites this paper as [269]
The paper’s Results report that 81% of its patients were free of spontaneous syncope at follow-up, and its Discussion describes tilt training as effective. It does not report that most controlled trials found no significant effect; the study described in the Results is a treated cohort, not a controlled comparison. (LLM, conf=0.85)
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References 24 · Cited by 56
- Authors
- Kinay, O., Yazici, M., Nazli, C., Acar, G., Gedikli, O., Altinbas, A., Kahraman, H., Dogan, A., Ozaydin, M., Tuzun, N., & Ergene, O.
- Affiliations
- Ataturk Research and Training State Hospital, Izmir
- Department of Cardiology, School of Medicine, Abant Izzet Baysal University
- Department of Cardiology, School of Medicine, Suleyman Demirel University
- Süleyman Demirel Üniversitesi (TR)
- ORCID
- Ergene, Oktay
- Venue
- Japanese Heart Journal
- Published
- 2004
- Volume
- 45
- Issue
- 5
- Pages
- 833-843
- ISSN
- 0021-4868 (ISSN-L)
- 1348-673X
- OpenAlex
- W1968347669
- Cited by
- 56
- References
- 24
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 2 · 2019: 1 · 2018: 4 · 2017: 9 · 2016: 2 · 2014: 3 · 2013: 1 · 2012: 1
- FWCI
- 2.53
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Japanese Heart Journal (publishedVersion)
- PubMed (publishedVersion)
- DSpace - Düzce (Duzce University) (submittedVersion, cc-by-nc-nd)
- Topics
- Health Sciences › Medicine › Surgery › Cardiovascular Syncope and Autonomic Disorders
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
- Keywords
- vasovagal syncope, tilt training, recurrent syncope, tilt table, home-based exercise, syncope prevention, medication adherence, long-term follow-up
- MeSH terms
- Adult, Exercise Therapy, Female, Follow-Up Studies, Head, Humans, Male, Middle Aged, Patient Compliance, Posture, Treatment Outcome, Tilt-Table Test, Syncope, Vasovagal
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