Vasovagal Syncope and Unexplained Syncope: Concepts, Treatments, and Future Perspectives

被引：1

作者：

Bedard, France ^{[2
]}

Marchand, Andre ^{[3
]}

Kus, Teresa ^{[4
]}

D'Antono, Bianca ^{[1
]}

机构：

[1] Univ Montreal, Res Ctr, Montreal Heart Inst, Dept Psychiat, Montreal, PQ H1T 1C8, Canada

[2] Univ Quebec Montreal, Res Ctr, Montreal Heart Inst, Dept Psychol, Montreal, PQ, Canada

[3] Univ Quebec Montreal, Ctr Rech Fernand Seguin, Dept Psychol, Montreal, PQ, Canada

[4] Univ Montreal, Hop Sacre Coeur, Dept Pharmacol, Dept Cardiol, Montreal, PQ H1T 1C8, Canada

来源：

CANADIAN PSYCHOLOGY-PSYCHOLOGIE CANADIENNE | 2010年 / 51卷 / 04期

关键词：

vasovagal syncope; unexplained syncope; intervention; psychology; literature review; NEURALLY-MEDIATED SYNCOPE; RECURRENT NEUROCARDIOGENIC SYNCOPE; BIOFEEDBACK-ASSISTED RELAXATION; COGNITIVE-BEHAVIORAL THERAPY; COUNTER-PRESSURE MANEUVERS; QUALITY-OF-LIFE; PSYCHOLOGICAL-FACTORS; TILT-TABLE; PREVENTION; MANAGEMENT;

D O I：

10.1037/a0021273

中图分类号：

B84 [心理学];

学科分类号：

04 ; 0402 ;

摘要：

Syncope (transient loss of consciousness) can lead to significant psychosocial and physical impairment and have a profound impact on the quality of life of the sufferer While infrequently attended to, a psychological perspective may have much to offer within a comprehensive treatment plan The present article reviews 26 articles that evaluate conventional (education, medication, cardiac pacemakers) and to a greater extent complementary treatments (orthostatic training applied tension psychologically oriented interventions) designed to reduce the frequency and negative consequences of vasovagal and unexplained syncope Applied tension demonstrated the greatest efficacy in reducing the frequency of vasovagal syncope However, this intervention applies only to patients who experience a prodrome prior to fainting Currently, no clinically proven treatment exists for patients with unexplained syncope or with vasovagal syncope without a prodromal phase Suggestions regarding appropriate cognitive and/or behavioural interventions are provided based on the characteristics of the patients

引用

页码：257 / 268

页数：12

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