Tilt training, for recurrent neurocardiogenic syncope - Effectiveness, patient compliance, and scheduling the frequency of training sessions

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dc.contributor.authorKınay, Ozan
dc.contributor.authorYazıcı, Mehmet
dc.contributor.authorNazlı, Cem
dc.contributor.authorAcar, Gürkan
dc.contributor.authorGedikli, Ömer
dc.contributor.authorAltınbaş, Ahmet
dc.contributor.authorErgene, Oktay
dc.date.accessioned2020-04-30T23:34:47Z
dc.date.available2020-04-30T23:34:47Z
dc.date.issued2004
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptionWOS: 000226083000012en_US
dc.descriptionPubMed: 15557724en_US
dc.description.abstractUnsatisfactory 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 oil 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 progam 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.en_US
dc.identifier.doi10.1536/jhj.45.833en_US
dc.identifier.endpage843en_US
dc.identifier.issn0021-4868
dc.identifier.issue5en_US
dc.identifier.startpage833en_US
dc.identifier.urihttps://doi.org/10.1536/jhj.45.833
dc.identifier.urihttps://hdl.handle.net/20.500.12684/5223
dc.identifier.volume45en_US
dc.identifier.wosWOS:000226083000012en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherJapan Heart Journal, Second Dept Of Internal Meden_US
dc.relation.ispartofJapanese Heart Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectrecurrent neurocardiogenic syncopeen_US
dc.subjecttilt training programen_US
dc.titleTilt training, for recurrent neurocardiogenic syncope - Effectiveness, patient compliance, and scheduling the frequency of training sessionsen_US
dc.typeArticleen_US

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