Showing posts with label Syncope. Show all posts
Showing posts with label Syncope. Show all posts

Syncope (Fainting) Syndrome

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Syncope does not always appear to be a complete loss of consciousness, but may be just an altered state of consciousness. The individual, although they have fallen, will usually recover spontaneously within a brief time period. In some instances, the individual may not lose consciousness, but have an impending sensation that they are going to faint. Syncope can be caused by both cardiovascular or noncardiovascular diseases or conditions. cardiovascular conditions such as, atrial fibrillation, tachycardia, etc. are generally related to syncope. Fright or extreme stress that is not due to cardiovascular conditions, may cause a condition known as a vasovagal attack, due to a vasovagal depression of the vagal nerve.

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How is Syncope (Fainting) Syndrome

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Another causative factor may be, Orthosatic hypotension, whereby the individual has sudden drop in blood pressure when getting up suddenly from a sitting or lying down position. This is more likely to occur in the older individual. In these individuals, syncope can occur due to many other causes. An inconsequential cause such as a tight collar may act as a trigger to cause a caotid sinus episode that can cause syncope, or the feeling of syncope. In the older male who may have prostatic hypertrophy and is straining to urinate can also lose consciousness.

There are many other conditions that can be causative factors. Congenital factors, such as epilepsy, may be trigger in these episodes. In some individuals, the cause may never be determined, even after going through every test known at this time. Some individuals have gone through CT scans, MRI's, Tilttable test, etc. and still have not had a definitive diagnosis. These individuals go through their everyday lives with a variety of symptoms. They can feel a sudden giddiness, the room seems as if spinning around them. They can break out in sweats. They may have a sudden dimming of vision, and become nauseous, and in some instances will vomit.

In some individuals, the condition may be caused by "Vertigo", a condition usually caused by the balance mechanism in the middle ear. In this case, the individual needs to see a specialist to determine if there might be a viral infection or other defect of the inner ear. If a viral infection is found the they will probably be treated with an antibiotic. In many instances the condition may be due to some irregularity of the inner ear mechanism. At times certain movements of the head by the doctor will correct or improve the condition.

When an individual undergoes a state of syncope, and they are on the ground, good Samaritans, should not attempt to sit or stand these individuals up. They should instead, raise their legs in order to help restore their blood circulation to the head and brain.

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Vaso - Vagal Syncope, Cardiac Syncope and Epilepsy

Vagal Afib - Vaso - Vagal Syncope, Cardiac Syncope and Epilepsy.
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Vaso - Vagal Syncope

What I said. It isn't outcome that the actual about Vagal Afib. You check out this article for home elevators a person wish to know is Vagal Afib.

How is Vaso - Vagal Syncope, Cardiac Syncope and Epilepsy

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The exact mechanism of syncope is still under study. In this condition, there appears to be a transitory fall in blood pressure due to the failure of peripheral resistance. This momentary fall in blood pressure causes a decreased flow of blood to the brain, leading to syncope, during which time there is a transient/brief form of unconsciousness, and the patient may fall to the ground, if he remains standing, i.e., does not sit, or lie immediately. Before his fall, he may feel some symptoms like nausea, giddiness, vertigo, disturbance of vision/hearing, blurring of vision or odd noises in the ears, body pallor, rapid respiration and sweating, etc.

If the attack is a prolonged one, in some of the cases, even twitching/jerky movements, or open convulsions may occur, thus creating some difficulty in diagnosing the condition clinically. Such attacks occur usually only in a standing/upright position. They do not occur when the patient is either lying down or sitting. The patient is not confused after the attack, although he still may be undergoing feelings of nausea.

This problem appears particularly in normal young adults, especially in females, with no obvious pathology which could account for these attacks. Such cases are usually seen in day-to-day practice, and can be embarrassing enough to cause anxiety.

The attacks are usually precipitated when a person keeps standing for a long time, e.g., as is sometimes seen in school students when they gather for their morning prayers (childhood syncope), or in older students standing for hours in various laboratories, and similarly in policemen and soldiers, when they happen to stand on duty at one place for a considerable length of time.

Also, the attacks are aggravated when a person suddenly stands up after lying down or sitting for a long period, or when the person gets up suddenly during his sleep at midnight/morning. Further, bad news or sight of blood, i.e., emotional shock, intense fear/pain, hot weather or a stuffy atmosphere, hunger, intake of excessive alcohol or loss of fluids, i.e., dehydration etc., may also initiate these attacks.

Recovery in vaso - vagal syncope occurs after the person lies down. There is no underlying cause. There is only a failure of peripheral resistance which causes the various conditions mentioned above.

Cardiac syncope

Cardiac syncope, i.e., syncope as a result of some underlying heart disease, occurs suddenly, without any warning symptoms. In such cases, there is a sudden fall in cardiac output/blood pressure, as a result of various diseases of the heart, like arrhythmias, such as when the heart rate is very high (paroxysmal atrial tachycardia-PAT, atrial fibrillation), or in a heart block (Stokes-Adams attack) when the heart rate becomes extremely slow, or in advanced cases of aortic stenosis (aortic valve disease), which result in a decreased flow of blood to the brain, etc. Hence detailed tests like electrocardiogram ECG (with a long rhythm strip), Holter monitoring (to detect arrhythmias), echocardiography (to detect aortic / other valvular diseases), etc., are required, besides an EEG, in some cases, for specific diagnosis and treatment.

I hope you receive new knowledge about Vagal Afib. Where you may offer easy use in your everyday life. And just remember, your reaction is Vagal Afib. View Related articles related to Vagal Afib. I Roll below. I actually have suggested my friends to help share the Facebook Twitter Like Tweet. Can you share Vaso - Vagal Syncope, Cardiac Syncope and Epilepsy.