Exercise Training for PoTS and Syncope Time Blood Pressure (mm Hg) 0 20 40 60 80 100 120 140 Blood Pressure Heart Rate (beats.min -1 ) 0 20 40 60 80 100 120 140 Heart Rate 60 degree Head Up Tilt Dr David Low, PhD 23/09/2012 Autonomic & Neurovascular Medicine Unit, Faculty of Medicine, Imperial College London at St Mary’s Hospital. Autonomic Unit, National Hospital for Neurology & Neurosurgery, Queen Square & Institute of Neurology, University College London Time Time Blood Pressure (mm Hg) 0 20 40 60 80 100 120 140 Blood Pressure Heart Rate (beats.min -1 ) 0 20 40 60 80 100 120 140 Heart Rate 60 degree Head Up Tilt
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60 degree Head Up Tilt Exercise Training 60 degree Head Up Tilt … · 2018. 9. 15. · •5BX/XBX Programme (developed by Royal Canadian Air Force in 1964) •Progressive regime;
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Exercise Training
for PoTS and Syncope Time
Blo
od P
ressure
(m
m H
g)
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140Blood Pressure
Heart
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.min
-1)
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Heart Rate
60 degree Head Up Tilt
Time
Blo
od P
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(m
m H
g)
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20
40
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140Blood Pressure
Heart
Rate
(beats
.min
-1)
0
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120
140Heart Rate
60 degree Head Up Tilt
A B
Dr David Low, PhD 23/09/2012
Autonomic & Neurovascular Medicine Unit, Faculty of Medicine,
Imperial College London at St Mary’s Hospital.
Autonomic Unit,
National Hospital for Neurology & Neurosurgery, Queen Square
& Institute of Neurology, University College London
Exercise Training and Patient Populations: Dallas Studies
• Shibata S, Fu Q, Bivens TB, Hastings JL, Wang W, Levine BD. Short-term exercise training improves cardiovascular response to exercise in the Postural Orthostatic Tachycardia Syndrome. Journal of Physiology 2012 (in press).
• Fu Q, VanGundy TB, Shibata S, Auchus RJ, Williams GH, Levine BD. Exercise training versus propranolol in the treatment of the postural orthostatic tachycardia syndrome. Hypertension 58(2); 167-75, 2011.
• Galbreath MM, Shibata S, VanGundy TB, Okazaki K, Fu Q, Levine BD. Effects of exercise training on arterial-cardiac baroreflex function in POTS. Clinical Autonomic Research 21(2):73-80, 2011.
• Fu Q, VanGundy TB, Galbreath MM, Shibata S, Jain M, Hastings JL, Bhella PS, Levine BD. Cardiac origins of the Postural Orthostatic Tachycardia Syndrome. Journal of the American College of Cardiology 55(25): 2858-2868, 2010.
• Fu Q, VanGundy TB, Shibata S, Auchus RJ, Williams GH, Levine BD. Menstrual cycle affects renal-adrenal and hemodynamic responses during prolonged standing in the postural orthostatic tachycardia syndrome. Hypertension 56(1): 82-90, 2010.
Exercise Training and Patient Populations: Dallas Studies
• Target HR ~75-85% of maximum
• Initially, 2 to 4 times per week for 30 to 45 min/session using a recumbent bike, rowing, or swimming.
• As the patients became relatively fit – the duration of training sessions was prolonged
– sessions of increased intensity were added (1-2 per week).
• Upright exercise was added gradually, usually month 2-3.
• By the end, patients were exercising 5-6 hr per week
• Resistance training started once weekly (15 to 20 min/session) and gradually increased to twice weekly (30 to 40 min/session).