Tilt training: a new treatment for recurrent neurocardiogenic syncope and severe orthostatic intolerance. 
Medical treatment of neurocardiogenic syncope is insufficient in many cases.  We have observed a therapeutic effect of repeated head-up tilt testing.  Therefore, we have started a program of tilt training for heavily symptomatic patients.  After hospital admission, they were tilted daily (60 degrees inclination) until syncope, or until a duration of 45-90 minutes (90 sessions in 13 patients).  The mean tilt tolerance, at the first diagnostic head-up tilt table test, was 22.3 minutes (st.  dev.  10.9).  Before hospital discharge, 12/13 patients could sustain the full duration of tilt table testing without any symptom.  In one patient syncope persisted.  The patients were instructed to continue a program of daily tilt training at home, by standing against a wall for 30 minutes, one or two times per day.  This resulted in a complete disappearance of syncope in all 13 patients.  Orthostatic intolerance and the excessive autonomic reflex activity of neurocardiogenic syncope can be remedied by a program of continued tilt training, without the administration of drugs.