A novel psychophysiological treatment for vasovagal syncope

Clinical Autonomic Research

Volumn 7, Issue 4, 1997, Pages 191-197

  Khurana, R K ^a   Lynch, J J ^b   Craig, F W ^c  

^a UNION MEMORIAL HOSPITAL   (United States)

^b Life Care Health Foundation   (United States)

^c UNIVERSITY OF TENNESSEE   (United States)

Author keywords

Baroreflex sensitivity; Transactional psychophysiological therapy; Vasovagal syncope

Indexed keywords

BUTYROPHENONE; CARBAMAZEPINE; CHLORDIAZEPOXIDE; DESIPRAMINE; PHENOBARBITAL; PHENYTOIN; PRIMIDONE; PROPRANOLOL;

ARTICLE; BRAIN STEM; CARDIOVASCULAR FUNCTION; CASE REPORT; FEMALE; HEART FUNCTION TEST; HUMAN; LIMBIC SYSTEM; MEDICAL INFORMATION; PRESSORECEPTOR REFLEX; PSYCHIATRIC TREATMENT; PSYCHOANALYSIS; PSYCHOPHYSIOLOGY; RECURRENT DISEASE; STATISTICAL ANALYSIS; SYNCOPE; TREATMENT OUTCOME;

ADRENERGIC ALPHA-AGONISTS; ADULT; COMBINED MODALITY THERAPY; ERGOTAMINE; HEADACHE; HEMODYNAMIC PROCESSES; HUMANS; MALE; PSYCHOPHYSIOLOGY; PSYCHOTHERAPY; RECURRENCE; SYNCOPE; TRANSACTIONAL ANALYSIS;

EID: 0030812186     PISSN: 09599851     EISSN: None     Source Type: Journal    
DOI: 10.1007/BF02267981     Document Type: Article

References (36)

1. Van Leishout JJ, Wieling W, Karemaker JM, Eckberg DL. The vasovagal response. Clin Sci 1991; 81: 575-586.
2. Engle GL. Psychologic stress, vasodepressor (vasovagal) syncope, and sudden death. Ann Int Med 1978; 89: 403-412.
3. Graham DT, Kabler JD, Lunsford Jr L. Vasovagal fainting: a diphasic response. Psychosom Med 1961; 23: 493-507.
4. Luborsky L, Docherty JP, Penick S. Onset conditions for psychosomatic symptoms: a comparative review of immediate observation with retrospective research. Psychosom Med 1973; 35: 187-204.
5. Sledge WH. Antecedent psychological factors in the onset of vasovagal synope. Psychosom Med 1978; 40: 568-579.
6. Greenfield ADM. An emotional faint. Lancet 1951; 1: 1302-1303.
7. Grubb BP, Kosinksi D. Current trends in etiology, diagnosis, and management of neurocardiogenic syncope. Curr Opin Cardiol 1996; 11: 32-41.
8. Cohn CK, Kron RE, Brady JP. A case of blood-illness-injury phobia treated behaviorally. J Nervous and Mental Dis 1976; 162: 65-68.
9. Kozak M, Montgomery G. Multimodel behavioral treatment of recurrent injury - scene elicited fainting (vasodepressor syncope). Behav Psychother 1981; 9: 316-321.
10. Babcock HH, Powell DH. Vasovagal fainting: deconditioning an autonomic syndrome. Psychosom Med 1982; 23: 969-973.
11. Curtis GC, Thyer B. Fainting on exposure to phobic stimuli. Am J Psychiat 1983; 140: 771-774.
12. McGrady A, Benral G. Relaxation based treatment of stress-induced syncope. J Behav Ther Exp Psychiat 1986; 17: 23-27.
13. Lynch JJ. The Language of the Heart. New York: Basic Books, 1985.
14. Khurana RK. Valsalva ratio - a non-invasive and quantifiable test of vagal function. Trans Am Neurol Assoc 1981; 106: 107-109.
15. Khurana RK, Watabiki S, Hebel JR, Toro R, Nelson E. Cold face test in the assessment of trigeminal-brainstem-vagal function in humans. Ann Neurol 1980; 7: 144-149.
16. Heimbach DM, Gout JR. Effect of atropine in the tachycardia of hyperthyroidism. Arch Int Med 1972; 129: 430-432.
17. LeBlanc J, Cole J, Jobin M, Labrie A. Plasma catecholamines and cardiovascular response to cold and mental activity. J Appl Physiol 1979; 47: 1207-1211.
18. Ludbrook J, Vincent A, Walsh JA. Effects of mental arithmetic on arterial pressure and hand blood flow. Clin Exp Pharmacol Physiol 1975; 2(suppl. 2): 67-70.
19. Hines Jr EA. Significance of vascular hyperreaction as measured by cold-pressor test. Am Heart J 1940; 19: 408-416.
20. Lovallo W. The cold pressor test and autonomic function: a review and integration. Psychophysiology 1975; 12: 268-282.
21. Khurana RK, Setty A. The value of the isometric hand-grip test - studies in various autonomic disorders. Clin Autonom Res 1996; 6: 211-218.
22. Khurana RK, Nicholas EM. Head-up tilt table test: how far and how long? Clin Autonom Res 1996; 6: 335-341.
23. Khurana RK. Clinical assessment of the autonomic nervous system. In: Altman PL, Katz DD, eds. Human Health and Disease. Bethesda, MD: FASEB, 1977; 277-282.
24. Ramsey M. Non-invasive autonomic determination of mean arterial pressure. Medical Biological Engineering and Computers 1979; 17: 11-18.
25. Venus B, Mathru M, Smith R, Phan C. Direct versus indirect blood pressure measurements in critically ill patients. Heart and Lung 1985; 14: 228-232.
26. Norusis, MJ. Statistical Package for the Social Sciences. Advanced Statistics 6.1 Chicago 1994; 57-105.
27. Kleinknecht RA, Lenz J, Ford G, DeBerard S. Types and correlates of blood/injury-related vasovagal syncope. Behav Res Ther 1990; 28: 289-295.
28. Lynch JJ, Lynch KE, Friedman E. A cry unheard: sudden reductions in blood pressure while talking about feelings of hopelessness and helplessness. Integrative Physiological and Behavioral Science 1992; 27: 151-169.
29. Steptoe A, Sawada Y. Assessment of baroreceptor reflex functions during mental stress and relaxation. Psychophysiol 1989; 26: 140-147.
30. Sneddon JF, Counihan PJ, Bashir Y, Haywood GA, Ward DE, Camm AJ. Assessment of autonomic function in patients with neurally mediated syncope: augmented cardiopulmonary baroreceptor responses to graded orthostatic stress. J Am Coll Cardiol 1993; 21: 1193-1198.
31. Adler PSJ, France C, Ditto B. Baroreflex sensitivity at rest and during stress in individuals with a history of vasovagal syncope. J Psychosom Res 1991; 35: 591-597.
32. Ruggiero DA, Mraovitch S, Granata AR, Anwar M, Reis DJ. A role of insular cortex in cardiovascular function. J Comp Neurol 1987; 257: 181-207.
33. Zamrini EY, Meador KJ, Loring DW et al. Unilateral cerebral inactivation produces differential left/right heart rate responses. Neurology 1990; 40: 1408-1411.
34. Oppenheimer SM, Kedem G, Martin WM. Left insular cortex lesions perturb cardiac autonomic tone in humans. Clin Autonom Res 1996; 6: 131-140.
35. Kiok MC, Terrence CF, Fromm GH, Lavine S. Sinus arrest in epilepsy. Neurology 1986; 36: 115-116.
36. Wolf S. Central autonomic influence on cardiac rate and rhythm. Modern Concepts of Cardiovasc Dis 1969; 38: 29-34.