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Title
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Tilt training : a new treatment for recurrent neurocardiogenic syncope and severe orthostatic intolerance
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Author
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Abstract
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| Medical treatment of neurocardiogenic syncope is insufficient in many cases. We have observed a therapeutic effect of repeated head-up tilt testing. Therefore, we have started a program of tilt training for heavily symptomatic patients. After hospital admission, they were tilted daily (60 degrees inclination) until syncope, or until a duration of 45-90 minutes (90 sessions in 13 patients). The mean tilt tolerance, at the first diagnostic head-lip tilt fable test was 22.3 minutes (st, dev. 10.9). Before hospital discharge, 12/13 patients could sustain the full duration of tilt table testing without a?ly symptom. In one patient syncope persisted The patients were instructed to continue a program of daily lilt training at home, by standing against a wall for 30 minutes, one or two limes per day. This resulted in a complete disappearance of syncope in all 13 patients. Orthostatic intolerance and the excessive autonomic reflex activity of neurocardiogenic syncope can be remedied by a program of continued tilt training, without the administration of drugs. |
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Language
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English
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Source (journal)
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Pacing and clinical electrophysiology. - Mount Kisco, N.Y., 1978, currens
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Publication
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Mount Kisco, N.Y.
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1998
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ISSN
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0147-8389
[print]
1540-8159
[online]
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DOI
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10.1111/J.1540-8159.1998.TB01087.X
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Volume/pages
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21
:12
(1998)
, p. 193-196
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ISI
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000071628900012
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Full text (Publisher's DOI)
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Full text (publisher's version - intranet only)
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