Oz Fahrettin, Cizgici Yaşar, Bilge A Kaya
Istanbul University, Istanbul School of Medicine, Department of Cardiology, Istanbul, Turkey.
Acta Cardiol. 2011 Aug;66(4):523-5. doi: 10.1080/ac.66.4.2126604.
Neurocardiogenic syncope is a relatively common cause of syncope and is diagnosed by head-up tilt testing. A 21-year-old man was examined for frequent syncope episodes which occurred after episodes of blood drawing and standing in queue. Syncope developed in tilt table testing. After about 68 seconds, sinus rhythm returned. Recent reports have shown that tilt training is a very effective therapy for recurrent neurocardiogenic syncope. In our case, the patient was treated with midodrine 2.5 mg once a day and a tilt training programme. Therapy resulted in improvement and during a follow-up of six months, no major events occurred.
神经心源性晕厥是晕厥相对常见的病因，通过直立倾斜试验进行诊断。一名21岁男性因在采血和排队站立后频繁出现晕厥发作而接受检查。在倾斜试验台上出现了晕厥。约68秒后，窦性心律恢复。最近的报告表明，倾斜训练是复发性神经心源性晕厥非常有效的治疗方法。在我们的病例中，患者接受了每日一次2.5毫克米多君治疗及倾斜训练计划。治疗取得了改善效果，在六个月的随访期间，未发生重大事件。
