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Published on: March 21, 2013
Tilt training: does it have a role in preventing vasovagal syncope?
Osnat Gurevitz1, Alon Barsheshet, David Bar-Lev
1Heart Institute, Sheba Medical Center, Tei Hashomer, Israel. ossi.gurevitz@sheba.health.gov.il
Pacing and Clinical Electrophysiology : PACE
|December 12, 2007
Summary
Tilt training did not improve outcomes for young adults with vasovagal syncope. Lifestyle changes alone were as effective as adding tilt training, and compliance with the training program was challenging.
Area of Science:
- Cardiology
- Neurology
- Internal Medicine
Background:
- Vasovagal syncope is a prevalent condition among young adults.
- Previous research suggested tilt training may be effective.
- This study investigated tilt training's role in young adults diagnosed with vasovagal syncope.
Purpose of the Study:
- To evaluate the efficacy of a three-month daily tilt training program combined with lifestyle modifications in treating vasovagal syncope in young adults.
- To compare syncope recurrence and time to first syncope between a tilt training group and a control group.
Main Methods:
- A prospective, randomized study involved 46 soldiers diagnosed with vasovagal syncope.
- Participants were randomized to either three months of daily tilt training or a control group receiving no training.
- Both groups received instructions on increased fluid/salt intake and avoiding syncope triggers.
Main Results:
- Compliance with the tilt training program decreased from 91% in the first month to 58% over three months.
- No significant difference in the number of syncope episodes was observed between the treatment and control groups over one year (median 5.0 vs. 2.0).
- There was no significant difference in the time to the first syncope episode after randomization between the groups.
Conclusions:
- Adding daily three-month tilt training to lifestyle modifications does not enhance treatment outcomes for young adults with vasovagal syncope.
- Achieving good compliance with a tilt training program is difficult in this population.
- Lifestyle modifications alone appear to be as effective as combined therapy for vasovagal syncope in young adults.
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