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Document Details :

Title: Tilt Training
Subtitle: A new challenge in the treatment of neurally mediated syncope
Author(s): REYBROUCK, Tony , ECTOR, Hugo
Journal: Acta Cardiologica
Volume: 61    Issue: 2   Date: April 2006   
Pages: 183-189
DOI: 10.2143/AC.61.2.2014332

Abstract :
Clinical experience with repeated tilt testing and standing training has shown that this procedure can be used as a new therapy for the restoration of abnormal autonomic orthostatic reflexes. The introduction of tilt training therapy for neurally mediated syncope is a new and effective treatment. This new therapy has been used recently in several centres with excellent results. Since syncope is a severe social handicap for the patient, successful therapy will normalise the functional status and restore self-confidence. The use of tilt training can be considered as first-line therapy in this disorder. In the majority of the studies on tilt training,patients remain free of syncope during active treatment with this therapy. In about 50% of the patients with neurally mediated syncope already the second consecutive tilt test became negative.This therapeutic effect of in-hospital repeated tilt tests is sustained by continued standing training at home.