Document Detail

Successful treatment of malignant neurocardiogenic syncope with repeated tilt training program.
MedLine Citation:
PMID:  10834462     Owner:  NLM     Status:  MEDLINE    
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.
T Numata; H Abe; T Nagatomo; S Sonoda; K Kohshi; Y Nakashima
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Japanese circulation journal     Volume:  64     ISSN:  0047-1828     ISO Abbreviation:  Jpn. Circ. J.     Publication Date:  2000 May 
Date Detail:
Created Date:  2000-09-14     Completed Date:  2000-09-14     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  7806868     Medline TA:  Jpn Circ J     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  406-9     Citation Subset:  IM    
Second Department of Internal Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
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MeSH Terms
Home Nursing
Isoproterenol / administration & dosage
Middle Aged
Physical Therapy Modalities*
Self Care
Syncope / diagnosis,  therapy*
Tilt-Table Test*
Reg. No./Substance:

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