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Document Details : Title: Tilt training and pacing: a report on 9 patients with neurally mediated syncope Author(s): T. Reybrouck , H. Heidbüchel , R. Willems , H. Ector Journal: Acta Cardiologica Volume: 65 Issue: 1 Date: 2010 Pages: 3-7 DOI: 10.2143/AC.65.1.2045882 Abstract : Objective — In patients with neurally mediated syncope (NMS), pacing has been used to prevent bradycardia and syncope. However, recurrence due to the vasodepressor component remains a problem. Methods — We report on tilt training in 9 patients with a pacemaker (PM) implantation. Patients were submitted to daily in-hospital tilt testing. They were instructed to continue this therapy at home. Results — A negative tilt test was obtained in all patients. Six patients remained free from syncope. Recurrent syncope was observed in 3 patients. In 4 patients the pacemaker had been implanted before the start of the tilt training programme. Five patients had a pacemaker implanted after the administration of tilt training therapy. Conclusion — NMS also occurs in paced patients. Tilt training improves the clinical outcome by restoring the vasoconstrictor reserve capacity. |
