title: Successful treatment of malignant neurocardiogenic syncope with repeated tilt training program.
abstract: Recent reports have shown that repeated tilt-table testing or tilt training is a very effective therapy for the treatment of neurocardiogenic syncope induced by head-up tilt testing. The present patient experienced repeated syncopal or presyncopal attacks and had shown prolonged asystole on an electrocardiogram during syncope. The presyncope could be reproducibly induced by head-up tilt testing. Oral propranolol and/or disopyramide therapies failed to prevent his symptoms. Tilt training (2 sessions/day) was repeated every day for 4 weeks at home, and then head-up tilt testing was performed again. The syncope or presyncope was not induced by head-up tilt testing. The patient has continued with this training and has had no symptoms during the follow-up period of 1 year.
authors.affiliation: Second Department of Internal Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Numata
authors.forename: H
authors.initials: H
authors.lastname: Abe
authors.forename: T
authors.initials: T
authors.lastname: Nagatomo
authors.forename: S
authors.initials: S
authors.lastname: Sonoda
authors.forename: K
authors.initials: K
authors.lastname: Kohshi
authors.forename: Y
authors.initials: Y
authors.lastname: Nakashima
mesh_terms: D004562:Electrocardiography; D006701:Home Nursing; D006801:Humans; D007545:Isoproterenol / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities; D011187:Posture; D012640:Seizures; D012648:Self Care; D013575:Syncope / Q000175:diagnosis / Q000628:therapy*; D018667:Tilt-Table Test
chemical_list: D007545:Isoproterenol