vasovagal syncope


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syncope

 [sing´kah-pe]
faint. adj. adj syn´copal, syncop´ic.
cardiac syncope sudden loss of consciousness, either with momentary premonitory symptoms or without warning, due to cerebral anemia caused by ventricular asystole, extreme bradycardia, or ventricular fibrillation.
laryngeal syncope tussive syncope.
neurocardiogenic syncope a particularly serious type of vasovagal attack; the etiology is unknown.
stretching syncope syncope associated with stretching the arms upward with the spine extended.
swallow syncope syncope associated with swallowing, a disorder of atrioventricular conduction mediated by the vagus nerve.
tussive syncope brief loss of consciousness associated with paroxysms of coughing.
vasovagal syncope vasovagal attack.

va·so·de·pres·sor syn·co·pe

faintness or loss of consciousness due to reflex reduction in blood pressure.
Synonym(s): vasovagal syncope

vasovagal syncope

a sudden loss of consciousness resulting from cerebral ischemia, secondary to decreased cardiac output, peripheral vasodilation, and bradycardia and associated with vagal activity. The condition may be triggered by pain, fright, or trauma and is accompanied by symptoms of nausea, pallor, and perspiration. Also called vasodepressor syncope.

neurocardiogenic syncope

A syncope with a psychogenic substrate and predisposition to bradycardia, hypotension and peripheral vasodilation.
 
Clinical findings
Abrupt loss of vascular tone; nausea; diaphoresis; pallor.
 
Diagnosis
Tilt test, in which the patient is placed on a tilt table at a 40º to 80º angle from horizontal and maintained in a motionless upright position for 10–15 minutes or more.
 
Management
Beta blockers—e.g., metoprolol, theophylline, disopyramide.

Mechanism
Uncertain; probably activation of myocardial mechanoreceptors (C fibres), with decreased efferent sympathetic tone and increased efferent parasympathetic tone.

vasovagal syncope

Neurocardiogenic syncope, see there.

va·so·va·gal syn·co·pe

(vā'sō-vā'găl sing'kŏ-pē)
Faintness or loss of consciousness due to increased vagus nerve (parasympathetic) activity.
Synonym(s): vasodepressor syncope.

vasovagal syncope

See FAINTING.

syncope

a temporary suspension of consciousness due to cerebral anemia; fainting.

cardiac syncope
sudden loss of consciousness due to cerebral anemia caused by ventricular asystole, extreme bradycardia or ventricular fibrillation.
drug-induced syncope
may result from abnormalities of cardiac rhythm, caused by treatment with digitalis, and hypotension caused by drugs such as diuretics, promazine and phenothiazine tranquilizers, and peripheral vasodilating agents.
laryngeal syncope
tussive syncope.
Stokes-Adams syncope
swallow syncope
syncope associated with swallowing, a disorder of atrioventricular conduction mediated by the vagus nerve.
tussive syncope
brief loss of consciousness associated with paroxysms of coughing.
vasovagal syncope
see vasovagal attack.
References in periodicals archive ?
Management of vasovagal syncope controlling or aborting faints by leg crossing and muscle tensing.
Because psychiatric disorders often accompany vasovagal syncope, patients should undergo a thorough psychiatric evaluation, and any comorbid psychiatric disorders should be addressed according to current treatment guidelines.
Physical counterpressure maneuvers should be administered as a first-line treatment in every patient presenting with vasovagal syncope and recognizable prodromal symptoms," said Dr.
Vasovagal syncope and major depression: a common autonomic dysfunction.
Prolonged head-up tilt is increasingly used as a diagnostic test for vasovagal syncope.
Other therapies provided by the Advisa MRI device include the Rate Drop Response that identifies abrupt cardiac slowing and responds by pacing the heart at an elevated rate, which may reduce the frequency of syncopal (fainting) episodes in patients with apparent cardioinhibitory vasovagal syncope.
Background: Vasovagal syncope (VVS) is the most common cause of syncope in children.
Vasovagal syncope was found to be the frequently encountered medical emergency in prosthodontics followed by hypoglycemia (Table 3).
It later became apparent that the Frenchman had fainted and that he suffers from a condition called Vasovagal Syncope, with Garry Monk revealing later that Gomis actually wanted to return to the field after being stretchered off.
Vasovagal syncope is caused by a sudden slowing of the pulse that's the result of stimulation of the vagal nerve.
Because she had a short period of unconsciousness without feces or urine incontinence, tonic contractions or constitutional symptoms, electroencephalogram and head-up tilt testing was normal, neurological seizure and vasovagal syncope were excluded.
Lorna has vasovagal syncope, a condition which causes her heart to stop, and an irregular heart beat and the solution was a pacemaker which she had fitted later that year.