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Psychiatric illness and syncope

J H Oh1, W N Kapoor

  • 1Department of Medicine, University of Pittsburgh, Pennsylvania, USA.

Cardiology Clinics
|May 1, 1997
PubMed
Summary

Psychiatric conditions are common in patients experiencing syncope, especially when the cause is unknown. Treating these mental health issues may reduce syncope recurrence, suggesting a link between psychiatric illness and fainting.

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Area of Science:

  • Cardiology
  • Psychiatry
  • Neurology

Background:

  • Syncope (fainting) is frequently associated with psychiatric disorders.
  • Patients with syncope of unknown etiology show a high prevalence of psychiatric conditions.
  • Psychiatric disorders in syncope patients generally have lower mortality rates compared to cardiac causes.

Purpose of the Study:

  • To highlight the significant prevalence of psychiatric illness in patients presenting with syncope.
  • To investigate the impact of treating psychiatric disorders on the recurrence of syncope.
  • To recommend psychiatric assessment for unexplained syncope cases.

Main Methods:

  • Review of existing studies reporting on syncope and psychiatric comorbidities.
  • Analysis of mortality rates in syncope patients with and without psychiatric disorders.
  • Evaluation of syncope recurrence rates following treatment for psychiatric conditions.

Main Results:

  • A high prevalence of psychiatric illness was observed in syncope patients, particularly those with unknown causes.
  • Lower mortality rates were noted in syncope patients with psychiatric disorders compared to those with cardiac causes.
  • Treatment of psychiatric illnesses correlated with reduced syncope symptom recurrence.

Conclusions:

  • Psychiatric assessment is recommended for patients with syncope when initial evaluations do not reveal an organic cause.
  • Addressing psychiatric conditions may be a viable strategy to decrease syncope recurrence.
  • Further research is necessary to understand the pathophysiology of syncope and the precise effects of psychiatric treatment on recurrence.

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