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Europace 2003 5(3):299-301; doi:10.1016/S1099-5129(03)00030-8
© 2003 by European Society of Cardiology
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CASE REPORT

Cognitive behavioural therapy as a potential treatment for vasovagal/neurocardiogenic syncope—a pilot study

J. L. Newton1, R. A. Kenny1 and C. R. Baker2

1Cardiovascular Investigation Unit/Falls and Syncope Service, Royal Victoria Infirmary, University of Newcastle upon Tyne U.K.; 2Clinical Psychology Services in Healthcare, Royal Victoria Infirmary, Newcastle upon Tyne U.K.

Vasovagal syncope (VVS) is an exaggerated tendency to the common faint that affects any age group. Conventional treatment is non-specific and involves strategies to increase blood pressure. Patients with VVS are often unable to work or complete education due to actual, or fear of, syncopal symptoms.

Here we present a series of nine patients with VVS whose symptoms had proved resistant to conventional treatments where intervention with cognitive behavioural therapy (CBT) led to significant reductions in reported syncopal episodes and consultations at our unit. All subjects post-intervention were able to return to work or schooling.

CBT is an effective treatment in those with difficult to manage VVS. Randomized controlled trials are needed.

Key Words: Cognitive behavioural therapy, Vasovagal/neurocardiogenic syncope

Correspondence: Dr. Julia L. Newton, Falls and Syncope Service, Care of the Elderly Offices, Royal Victoria Infirmary, Newcastle, NE1 4LP, UK. Tel: +44-191-2824128; Fax: +44-191-2225638; E-mail: julianewton{at}blueyonder.co.uk


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