Successful treatment of malignant neurocardiogenic syncope with repeated tilt training program.
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.
Numata
T
T
Second Department of Internal Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
Abe
H
H
Nagatomo
T
T
Sonoda
S
S
Kohshi
K
K
Nakashima
Y
Y
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
D007545:Isoproterenol