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Tilt training as a treatment for reflex syncope: a multimodal approach!?
Miek Hornikx1, Peter Haemers2,3, Linda Stans4
1Department of Physical Medicine and Rehabilitation, Katholieke Universiteit Leuven, Leuven, Belgium.
Frontiers in Neuroscience
|December 16, 2024
Summary
Tilt training is effective for managing reflex syncope, significantly reducing symptom recurrence in patients who complete the program. Hyperventilation is common in these patients and requires targeted treatment.
Area of Science:
- Cardiology
- Neurology
- Internal Medicine
Background:
- Reflex syncope significantly impacts quality of life.
- Evidence for tilt training in reflex syncope is limited and outdated.
- Hyperventilation is frequently associated with reflex syncope.
Purpose of the Study:
- Evaluate the effectiveness of tilt training for reflex syncope.
- Assess the association between reflex syncope and hyperventilation.
Main Methods:
- Retrospective analysis of 173 patients undergoing tilt training.
- Collected data on demographics, syncope recurrence, and hyperventilation.
Main Results:
- 65% of patients successfully completed tilt training with low recurrence.
- Presyncope recurred in 21% over 21 months.
- Hyperventilation was suspected in 24%, confirmed in 82% of tested patients.
Conclusions:
- Tilt training shows reasonable success in a contemporary cohort.
- Low recurrence rates observed in patients completing the program.
- Concomitant hyperventilation is prevalent and needs specific management.
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