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Implementation of supervised physical training to reduce vasovagal syncope recurrence: A randomized controlled trial
Faezeh Aghajani1, Hamed Tavolinejad1,2, Saeed Sadeghian1
1Tehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Journal of Cardiovascular Electrophysiology
|May 31, 2022
Summary
Supervised physical training significantly reduced vasovagal syncope recurrence in a randomized trial. This multimodal approach improved syncope-free survival, offering a promising treatment for recurrent episodes.
Area of Science:
- Cardiology
- Neurology
- Exercise Physiology
Background:
- Vasovagal syncope (VVS) is a common condition with limited effective physical prevention strategies.
- Recurrent VVS significantly impacts quality of life.
Purpose of the Study:
- To evaluate the efficacy of multimodal supervised physical training for preventing vasovagal syncope recurrence.
Main Methods:
- A 1:1 randomized trial included patients with at least two VVS episodes.
- The intervention group received supervised tilt training and aerobic exercise plus home tilt training.
- The control group received standard care with home tilt training.
Main Results:
- The intervention group showed a 28% recurrence rate versus 64% in the control group.
- Syncope-free survival at one year was significantly higher in the intervention arm (Log-rank p=0.003).
- Adherence to home tilt training was significantly higher in the intervention group (80% vs. 52%).
Conclusions:
- Supervised multimodal physical training effectively reduces vasovagal syncope recurrence.
- This approach enhances syncope-free survival and adherence to treatment.
- Further research is needed to explore supervised physical techniques for VVS treatment.
