open access

Vol 64, No 6 (2006)
Other
Published online: 2006-06-27
Submitted: 2012-12-28
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Original article
Efficacy of tilt training in patients with vasovagal syncope

Jacek Gajek, Dorota Zyśko, Walentyna Mazurek
Kardiol Pol 2006;64(6):602-608.

open access

Vol 64, No 6 (2006)
Other
Published online: 2006-06-27
Submitted: 2012-12-28

Abstract

Background: Besides pharmacological therapy and pacemaker implantation, tilt training is a promising method of treatment in patients with vasovagal syncope (VVS). Tilt training is usually offered to patients with malignant or recurrent VVS which impairs their quality of life and carries a risk of injury. Aim: To assess the efficacy of tilt training in patients with VVS. Methods: The study group consisted of 40 patients (29 females, 11 males, aged 36.6±14 years, range 18-57 years) who underwent tilt training using tilt table testing according to the Westminster protocol. The mean number of syncopal episodes prior to the initiation of tilt training was 6.5±4.9 (range 0-20); 3 patients had a history of very frequent faints. According to the VASIS classification, type I VVS (mixed) was diagnosed in 17 patients, type II (cardioinhibitory) in 22 subjects, and type III (vasodepressive) in one patient. Mean follow-up duration was 35.1±13.5 months. The control group, which did not undergo the tilt testing programme, consisted of 29 patients with VVS (25 females, 4 males, mean age 44.2±15.0 years) who had a mean of 3.3±3.2 (range 0-12) syncopal episodes in the past (p

Abstract

Background: Besides pharmacological therapy and pacemaker implantation, tilt training is a promising method of treatment in patients with vasovagal syncope (VVS). Tilt training is usually offered to patients with malignant or recurrent VVS which impairs their quality of life and carries a risk of injury. Aim: To assess the efficacy of tilt training in patients with VVS. Methods: The study group consisted of 40 patients (29 females, 11 males, aged 36.6±14 years, range 18-57 years) who underwent tilt training using tilt table testing according to the Westminster protocol. The mean number of syncopal episodes prior to the initiation of tilt training was 6.5±4.9 (range 0-20); 3 patients had a history of very frequent faints. According to the VASIS classification, type I VVS (mixed) was diagnosed in 17 patients, type II (cardioinhibitory) in 22 subjects, and type III (vasodepressive) in one patient. Mean follow-up duration was 35.1±13.5 months. The control group, which did not undergo the tilt testing programme, consisted of 29 patients with VVS (25 females, 4 males, mean age 44.2±15.0 years) who had a mean of 3.3±3.2 (range 0-12) syncopal episodes in the past (p
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Keywords

vasovagal syncope; tilt training

About this article
Title

Original article
Efficacy of tilt training in patients with vasovagal syncope

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 64, No 6 (2006)

Pages

602-608

Published online

2006-06-27

Bibliographic record

Kardiol Pol 2006;64(6):602-608.

Keywords

vasovagal syncope
tilt training

Authors

Jacek Gajek
Dorota Zyśko
Walentyna Mazurek

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