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Clinical neuromythology XV. Feinting science: Neurocardiogenic syncope and collateral vasovagal confusion

  [ 17 votes ]   [ Discuss This Article ]
www.ProHealth.com • March 5, 1996


MCM: A sarcastic critique of the diagnosis of neurocardiogenic
syncope and the costly workup currently advocated including
tilt table testing. Reviews history of diagnosis of syncope,
and laments the replacement of "vasovagal" with
"neurocardiogenic". Isoporoterenol is a vasodilator and can
independently cause cerebral hypoperfusion and syncope. Tilt
table testing has not satisfactorily differentiated fainters
from nonfainters, there is no standard protocol, and it has
poor reproducibility. The psychiatrist ultimately ascertains
the [true] medical history, diagnosing drug effects, panic,
somatization, hyperventilation, depression, malingering,
hysterias/somatization, Briquet's S.

Landau WM, Nelson DA




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