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KMID : 0368120040340080789
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Korean Circulation Journal
2004 Volume.34 No. 8 p.789 ~ p.794
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Long-term Follow-up Results of Tilt Training in Patients with Neurocardiogenic Syncope
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김제상/Kim JS
김준수/김성해/백경기/이선미/박정왜/최진호/성지동/이상철/박승우/권현철/전은석/김덕경/이상훈/홍경표/박정의/Kim JS/KIm SH/Beak KK/Lee SM/Park JW/Choi JH/Sung JD/Lee SC/Park SW/Gwon HC/Chun ES/Kim DK/Lee SH/Hong KP/Park JE
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Abstract
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Background and Objectives：Tilt training as a non pharmacological therapy was recently introduced to treat the patients with neurocardiogenic syncope. Tilt training has been known to prevent neurocardiogenic syncope by desensitizing abnormal autonomic reflex. Herein, the early effect of tilt training and the preventive effect on the relapse of syncope were studied during a long-term follow-up period.
Subjects and Methods：Fifteen patients (11 males) who experienced recurrent syncope, despite drug treatment or were intolerant to drug treatment, among those diagnosed as neurocardiogenic syncope by the head-up tilt test at Samsung Medical Center between March 2000 and May 2003 were recruited. Each patient underwent tilt training after admission and was educated to continue self-tilt training after discharge. Data for recurrences after discharge were obtained via questionnaires on outpatient visits or by telephone interviews.
Results：Eleven (73%) of the 15 who underwent tilt training on admission showed therapeutic effects. The mean follow-up period was 21±10 months (5-40 months). Only one patient was excluded due to follow-up loss. Ten of the above patients underwent training by themselves for an average of 4 months after discharge, and experience no relapse of syncope during the follow-up period.
Conclusion：Tilt training maintained its therapeutic effect during long-term follow-up. This could be a new treatment for patients non responsive or intolerant to medical therapy.
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