Tilt training as a treatment for reflex syncope: a multimodal approach!?
PurposeReflex syncope is a burdensome disease with considerable repercussions on the quality of life. Tilt training is a therapeutic option, but evidence on this topic is scarce and outdated. Hyperventilation is oftentimes associated with reflex syncope. This study aimed to evaluate the effectivenes...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-11-01
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| Series: | Frontiers in Neuroscience |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fnins.2024.1473687/full |
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| author | Miek Hornikx Peter Haemers Peter Haemers Linda Stans Tomas Robyns Tomas Robyns Christophe Garweg Christophe Garweg Joris Ector Joris Ector Bert Vandenberk Bert Vandenberk Rik Willems Rik Willems |
| author_facet | Miek Hornikx Peter Haemers Peter Haemers Linda Stans Tomas Robyns Tomas Robyns Christophe Garweg Christophe Garweg Joris Ector Joris Ector Bert Vandenberk Bert Vandenberk Rik Willems Rik Willems |
| author_sort | Miek Hornikx |
| collection | DOAJ |
| description | PurposeReflex syncope is a burdensome disease with considerable repercussions on the quality of life. Tilt training is a therapeutic option, but evidence on this topic is scarce and outdated. Hyperventilation is oftentimes associated with reflex syncope. This study aimed to evaluate the effectiveness of tilt training in patients with reflex syncope and study the association between reflex syncope and hyperventilation.MethodsPatients referred for tilt training after a positive tilt test from July 2014 to March 2021 were included in a single-center, retrospective registry. Demographic characteristics and outcomes of the program were collected. The response of tilt training on (pre)syncope recurrence and the association with hyperventilation were studied.ResultsA total of 173 patients were included. The median age was 27 [17–48] years. Patients needed 2 [1–3] sessions to reach the first negative tilt training. The tilt training program was successfully completed by 65% of patients. An additional 3% reported no complaints in daily life, despite remaining symptomatic during tilt training. Another therapy was initiated in 10% of patients, while 21% dropped out of the tilt training. Presyncope recurred in 21% of patients during a follow-up period of 21 months [16–23]. Concomitant hyperventilation was suspected in 24%. Among these patients, 74% were referred for a hyperventilation provocation test, which confirmed the diagnosis in 82%.ConclusionWe report a reasonable success of tilt training in a contemporary cohort of patients. In patients completing the tilt training program, presyncope, and syncope recurrence was low. Concomitant hyperventilation seems prevalent in patients with reflex syncope and warrants specific attention and treatment. |
| format | Article |
| id | doaj-art-0bb232d74af845b1b6e6308cb2bb33e9 |
| institution | Kabale University |
| issn | 1662-453X |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neuroscience |
| spelling | doaj-art-0bb232d74af845b1b6e6308cb2bb33e92024-11-29T14:35:34ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2024-11-011810.3389/fnins.2024.14736871473687Tilt training as a treatment for reflex syncope: a multimodal approach!?Miek Hornikx0Peter Haemers1Peter Haemers2Linda Stans3Tomas Robyns4Tomas Robyns5Christophe Garweg6Christophe Garweg7Joris Ector8Joris Ector9Bert Vandenberk10Bert Vandenberk11Rik Willems12Rik Willems13Department of Physical Medicine and Rehabilitation, Katholieke Universiteit Leuven, Leuven, BelgiumDepartment of Cardiovascular Sciences, Katholieke Universiteit Leuven, Leuven, BelgiumDepartment of Cardiology, UZLeuven, Leuven, BelgiumDepartment of Pneumology, UZLeuven, Leuven, BelgiumDepartment of Cardiovascular Sciences, Katholieke Universiteit Leuven, Leuven, BelgiumDepartment of Cardiology, UZLeuven, Leuven, BelgiumDepartment of Cardiovascular Sciences, Katholieke Universiteit Leuven, Leuven, BelgiumDepartment of Cardiology, UZLeuven, Leuven, BelgiumDepartment of Cardiovascular Sciences, Katholieke Universiteit Leuven, Leuven, BelgiumDepartment of Cardiology, UZLeuven, Leuven, BelgiumDepartment of Cardiovascular Sciences, Katholieke Universiteit Leuven, Leuven, BelgiumDepartment of Cardiology, UZLeuven, Leuven, BelgiumDepartment of Cardiovascular Sciences, Katholieke Universiteit Leuven, Leuven, BelgiumDepartment of Cardiology, UZLeuven, Leuven, BelgiumPurposeReflex syncope is a burdensome disease with considerable repercussions on the quality of life. Tilt training is a therapeutic option, but evidence on this topic is scarce and outdated. Hyperventilation is oftentimes associated with reflex syncope. This study aimed to evaluate the effectiveness of tilt training in patients with reflex syncope and study the association between reflex syncope and hyperventilation.MethodsPatients referred for tilt training after a positive tilt test from July 2014 to March 2021 were included in a single-center, retrospective registry. Demographic characteristics and outcomes of the program were collected. The response of tilt training on (pre)syncope recurrence and the association with hyperventilation were studied.ResultsA total of 173 patients were included. The median age was 27 [17–48] years. Patients needed 2 [1–3] sessions to reach the first negative tilt training. The tilt training program was successfully completed by 65% of patients. An additional 3% reported no complaints in daily life, despite remaining symptomatic during tilt training. Another therapy was initiated in 10% of patients, while 21% dropped out of the tilt training. Presyncope recurred in 21% of patients during a follow-up period of 21 months [16–23]. Concomitant hyperventilation was suspected in 24%. Among these patients, 74% were referred for a hyperventilation provocation test, which confirmed the diagnosis in 82%.ConclusionWe report a reasonable success of tilt training in a contemporary cohort of patients. In patients completing the tilt training program, presyncope, and syncope recurrence was low. Concomitant hyperventilation seems prevalent in patients with reflex syncope and warrants specific attention and treatment.https://www.frontiersin.org/articles/10.3389/fnins.2024.1473687/fulltilt trainingtilt testreflex syncopepresyncopehyperventilation |
| spellingShingle | Miek Hornikx Peter Haemers Peter Haemers Linda Stans Tomas Robyns Tomas Robyns Christophe Garweg Christophe Garweg Joris Ector Joris Ector Bert Vandenberk Bert Vandenberk Rik Willems Rik Willems Tilt training as a treatment for reflex syncope: a multimodal approach!? Frontiers in Neuroscience tilt training tilt test reflex syncope presyncope hyperventilation |
| title | Tilt training as a treatment for reflex syncope: a multimodal approach!? |
| title_full | Tilt training as a treatment for reflex syncope: a multimodal approach!? |
| title_fullStr | Tilt training as a treatment for reflex syncope: a multimodal approach!? |
| title_full_unstemmed | Tilt training as a treatment for reflex syncope: a multimodal approach!? |
| title_short | Tilt training as a treatment for reflex syncope: a multimodal approach!? |
| title_sort | tilt training as a treatment for reflex syncope a multimodal approach |
| topic | tilt training tilt test reflex syncope presyncope hyperventilation |
| url | https://www.frontiersin.org/articles/10.3389/fnins.2024.1473687/full |
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