Keywords
tilt testing
anxiety
How to Cite
Abstract
Background. Patients referred for tilt test, who did not have vasovagal syncope are little known group. Symptoms of anxiety disorders and prodromal symptoms of vasovagal syncope overlap which can make it difficult to recognize. Objectives. The aim of the study is to assess the level of anxiety in a group of young women with excluded vasovagal syncope on the basis of medical history and tilt test results. Material and methods. The study group consisted of 14 women who came from a whole group of 55 women at the age of 21–40 years referred for tilt testing, who were excluded the presence of vasovagal syncope. Before performing the tilt test at the women were surveyed using a questionnaire Spielberg and rated the level of state anxiety (KS1) and the trait anxiety (KS2). Control group consisted of 124 women who had denied the occurrence of syncope. Results. 1. Results found significantly higher levels of trait anxiety and state anxiety (KS1 and KS2) in the study group than in the control group: 2. It was found that the value of the level of state anxiety (KS1) over 32 with 100% sensitivity and 34.7% specificity allows to distinguish case patients from the control group. 3. It was found that the value of the level of trait anxiety (KS2) over 44 with 64.3% sensitivity and 74.2% specificity allows to distinguish case patients from the control group. Conclusions. 1. Approximately 20% of patients referred for tilt testing have excluded vasovagal syncope as the cause of reported problems. 2. Patients in the study group found a high level of anxiety as a trait and as a state which indicates the possibility of anxiety as substrate of their complaints. 3. Exclusion of vasovagal syncope diagnosis in young women should pay attention to the possibility of the occurrence of anxiety disorders in them.References
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