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Diagnoses were made in 5(18.5%)of 27 group I patients(Wolff-Parkinson- White syndrome,1;conversion reaction,2;hyperventilation,1;migraines,1), whereas diagnosis was made in 27(100%)of 27 group II patients (neurocardiogenic syncope,25;conversion reaction,2).An extensive workup is not routinely indicated in syncopal patients with a history consistent with neurocardiogenic syncope.Tilt table testing performed early in the evaluation will increase the probability of a diagnosis,and will often prevent the need for further extensive,expensive anxiety-producing tests. |
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