RT Journal
T1 DIe synkopalen anfalle
JF Journal of the American Medical Association
JO Journal of the American Medical Association
YR 1949
FD December 10
VO 141
IS 15
SP 1107
OP 1107
DO 10.1001/jama.1949.02910150073042
UL http://dx.doi.org/10.1001/jama.1949.02910150073042
AB This monograph is a survey of different forms of syncope due to vegetative and vasomotor disturbances as seen by a psychiatrist. The clinical symptomatology of the attacks, the trigger mechanisms for their appearance, the course of the disease and the psychosomatic status of the patients are described. An attempt is made to distinguish five different types, illustrated by clinical cases, viz., reflex reaction to pain and fear, exhaustion, a cardiovasomotor form, an orthostatic form and an "endogen-cyclic" form. The differentiation of these types of syncope from epilepsy, hysteria, narcolepsy, hypoglycemia and tetany is discussed. From the cardiovascular standpoint the connection of attacks of syncope with orthostatic hypotension is stressed and postural changes of the electrocardiogram sometimes occurring in these patients are shown. However, no mention is made of either the Stokes-Adam's syndrome or the syndrome of hypersensitive carotid sinus as causative factors of syncope. Lewis' concept of vasovaginal type of