Psychogenic Pseudosyncope: Diagnosis and Management

Raj, Vidya; Rowe, Ama A.; Fleisch, Sheryl B.; Paranjape, Sachin Y.; Arain, Amir; Nicolson, Stephen E.

doi:10.1016/j.autneu.2014.05.003

Cited by 46 publications

(20 citation statements)

References 35 publications

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“…The history had to contain positive features of PPS such as closed eyes during attacks, a long duration, and high frequency. 7 Attack documentation required recording an event recognized as typical by patients or relatives during a tilt table test, comprising continuous blood pressure, ECG, EEG, and video, 8,9,19 or ictal home video or blood pressure recording. Patients with a positive history and attack documentation were classified as definite; those with a positive history without documentation were classified as probable.…”

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confidence: 99%

Long-term follow-up of psychogenic pseudosyncope

et al. 2016

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Objective: To determine the outcome of patients with psychogenic pseudosyncope (PPS) after communication of the diagnosis.Methods: This was a retrospective cohort study of patients with PPS referred in 2007 to 2015 to a tertiary referral center for syncope. We reviewed patient records and studied attack frequency, factors affecting attack frequency, health care use, and quality of life using a questionnaire. We explored influences on attack freedom and attack frequency in the 6 months before follow-up for age, sex, education level, duration until diagnosis, probability of diagnosis, additional syncope, and acceptance of diagnosis.Results: Forty-seven of 57 patients with PPS could be traced, of whom 35 (74%) participated.Twelve (34%) were attack-free for at least 6 months. The median time from diagnosis to follow-up was 50 months (range 6-103 months). Communicating and explaining the diagnosis resulted in immediate reduction of attack frequency (p 5 0.007) from the month before diagnosis (median one attack, range 0-156) to the month after (median one attack, range 0-16). In the 6 months before follow-up, the number of admissions The 3 main groups of apparent transient loss of consciousness are syncope, epileptic seizures, and psychogenic attacks.

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confidence: 99%

Long-term follow-up of psychogenic pseudosyncope

et al. 2016

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“…Orthostatic intolerance is the occurrence of palpitations, fatigue, nausea, malaise, presyncope, or syncope upon assuming an upright posture [11][12][13], secondary to relative cerebral hypoperfusion, which distinguishes it from hyperventilation [14,15] and psychogenic pseudosyncope [16]. While ST is not always associated with OI, the two findings intersect to varying degrees among patients with POTS, IAST, and SNRT.…”

Section: Definitions and Clinical Presentationmentioning

confidence: 93%

Managing the patient with episodic sinus tachycardia and orthostatic intolerance

2014

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“…116,154 IIa C Tilt testing, preferably with concurrent EEG recording and video monitoring, may be considered for diagnosis of PPS. 116,403,407 IIb C…”

Section: Diagnosismentioning

confidence: 99%

2018 ESC Guidelines for the diagnosis and management of syncope

Parikka¹

2018

Revista Española de Cardiología (English Edition)

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Psychogenic Pseudosyncope: Diagnosis and Management

Cited by 46 publications

References 35 publications

Long-term follow-up of psychogenic pseudosyncope

Long-term follow-up of psychogenic pseudosyncope

Managing the patient with episodic sinus tachycardia and orthostatic intolerance

2018 ESC Guidelines for the diagnosis and management of syncope

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