title: A patient treated with tilt training and midodrine after 68 seconds asystole during head-up tilt table testing.
abstract: Neurocardiogenic syncope is a relatively common cause of syncope and is diagnosed by head-up tilt testing. A 21-year-old man was examined for frequent syncope episodes which occurred after episodes of blood drawing and standing in queue. Syncope developed in tilt table testing. After about 68 seconds, sinus rhythm returned. Recent reports have shown that tilt training is a very effective therapy for recurrent neurocardiogenic syncope. In our case, the patient was treated with midodrine 2.5 mg once a day and a tilt training programme. Therapy resulted in improvement and during a follow-up of six months, no major events occurred.
authors: Istanbul University, Istanbul School of Medicine, Department of Cardiology, Istanbul, Turkey. fahrettin_oz@hotmail.com
authors: Fahrettin
authors: F
authors: Oz
authors: Yaşar
authors: Y
authors: Cizgici
authors: A Kaya
authors: AK
authors: Bilge
mesh_terms: D003131:Combined Modality Therapy; D004562:Electrocardiography; D006323:Heart Arrest / Q000628:therapy*; D006801:Humans; D008297:Male; D008879:Midodrine / Q000627:therapeutic use*; D026741:Physical Therapy Modalities; D011187:Posture; D019462:Syncope, Vasovagal / Q000175:diagnosis*; D018667:Tilt-Table Test / Q000009:adverse effects*; D014662:Vasoconstrictor Agents / Q000627:therapeutic use*; D055815:Young Adult
chemical_list: D014662:Vasoconstrictor Agents; D008879:Midodrine