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Articles

Title: Early results of tilt training in patients with vasovagal syncope. Preliminary report

Author:
Ewa Szufladowicz, Edward Koźluk, Agnieszka Piątkowska, Franciszek Walczak
Type:
Original articles
Language:
PL
Journal:
Polish Journal of Cardiology
Year:
2002
Volume:
4
Number:
4
Start page:
355
Final page:
359
ISSN:
1507-5540
Keywords:
vasovagal syncope, tilt training, head-up tilt test
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Introduction: Neurocardiogenic syncope makes the patients' life difficult and quite often they become fearful for their lives. The pharmacological methods of treatment are generally ineffective and cardiac pacing is indicated only in selected patients. The aim of the study: The purpose of the present study is evaluation of the early effectiveness of the tilt training (TT) in patients with vasovagal syncope (WS). Material: The study was performed on a groupof 21 patients with WS (11 female, 10 male; age 30±17years). There were the following types of WS (according to VASIS classification): 8 patients - cardiodepressive type, 3 vasodepressive and 10 mixed type. Regular syncope occurred 6±7 times ayear and faints 26±26 times a year. Results: The tilt training was conducted with two methods. Ingroup I (11 patients) there were two training sessions aday, 30 minutes each. In group II (10 patients) the similar training was preceded by sleeping in the bed with 10 degree tilt to the floor for two weeks. During the first 5 days in group I syncope occurred in 3 pts, presyncope in 7. Between the 6th and 10th day there was 1 syncope and presyncope in 3 patients. In group II there were only presyncopal events in 3 patients (at the beginning of tilt phase). After a month of training, during 17±11 weeks of the follow-up there was no syncope or faint in both groups of patients. Conclusions: Tilt training seems to be a safe and effective method of treatment in patients with all types of WS. Starting of tilt training with preliminary phase decreases discomfort connected with syncopal and presyncopal episodes during beginning treatment.