Title
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Tilt training and pacing : a report on 9 patients with neurally mediated syncope
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Author
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Abstract
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Objective - In patients with neurally mediated syncope (NMS), pacing has been used to prevent bradycardia and syncope. However, recurrence due to the vasodepressor component remains a problem. Methods - We report on tilt training in 9 patients with a pacemaker (PM) implantation. Patients were submitted to daily in-hospital tilt testing. They were instructed to continue this therapy at home. Results - A negative tilt test was obtained in all patients. Six patients remained free from syncope. Recurrent syncope was observed in 3 patients. In 4 patients the pacemaker had been implanted before the start of the tilt training programme. Five patients had a pacemaker implanted after the administration of tilt training therapy. Conclusion - NMS also occurs in paced patients. Tilt training improves the clinical outcome by restoring the vasoconstrictor reserve capacity. |
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Language
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English
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Source (journal)
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Acta cardiologica. - Bruxelles
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Publication
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Bruxelles
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2010
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ISSN
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0001-5385
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DOI
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10.2143/AC.65.1.2045882
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Volume/pages
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65
:1
(2010)
, p. 3-7
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ISI
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000275285500002
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Full text (Publisher's DOI)
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Full text (open access)
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