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Doctor insights on: Cardio Neuro Syncope

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Dr. Rajiva Goyal
1,194 doctors shared insights

Syncope (Definition)

Loss of consciousness and postural tone caused by diminished cerebral blood flow. Syncope may indicate a particular medical condition, however often it may occur in an otherwise healthy individual. It is a common problem, accounting for 3% ...Read more


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Weight gain, dizzy spells, syncope, heat intolerance, hazy head, rapid bl. Sug fluc. - neuro and cardio cleared- positive tilt table - PCOS cause all?

Weight gain, dizzy spells, syncope, heat intolerance, hazy head, rapid bl. Sug fluc. - neuro and cardio cleared- positive tilt table - PCOS cause all?

No: Your dizzy spells, syncope, and positive tilt table may indicate POTS (postural orthostatic tachycardia syndrome). If you have a positive tilt table, how can you be "cardio cleared"? Evaluation with an electrophysiologist (cardiologist specializing in neuro-cardiogenic syncope) may be revealing. If you have POTS, the prognosis is good - you'll get better in time and there are treatments. ...Read more

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Had full cardio work up. No issues found besides gym. 4x over past two months Sx off pressure center chest and feeling as if fainting last <20sec?

Cardiac evaluation: it sounds like you're in good physical conditioning. It would be wise for your physician to have you see a cardiologist to see if there are other symptoms that you have that may explain cardiac or non-cardiac issues ...Read more

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What is neuro-cardiogenic syncope?

Syncope: neuro-cardiogenic syncope is a loss of awareness / fainting due to decreased blood flow to the brain. It tends to occur due to an over-active reflex in the arteries in the front of the neck. Another term for this is vaso-vagal syncope. ...Read more

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Can I die from syncope if I ignore it?

Can I die from syncope if I ignore it?

Depends on cause: Syncope can be due to a simple faint (like having blood drawn) or it can be due to serious heart disease with dangerous arrhythmias. The causes are legion. Some don't involve the heart at all like low blood sugar or epilepsy. You should discuss your syncope with someone who knows your full medical history to see if additional testing is necessary. ...Read more

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What are the common triggers of syncope?

What are the common triggers of syncope?

Syncope triggers: The triggers for syncope depends on the type of syncope. For vasovagal or neurocardiogenic syncope the common triggers are dehydration and stimulants like caffeine, nicotine, decongestants and dietary aides or supplements. As always talk your doctor for more details. ...Read more

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Could it be something bad if I have syncope?

Could it be something bad if I have syncope?

Yes, is serious: Syncope is just blacking out or fainting--the problem it can be cardiac, neurological from a long list of causes--at least it could be due to change position, low blood pressure--check with primary doctor but bring witness, video of event. ...Read more

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Should syncope patients have a wheelchair?

Syncope: Most syncope patients have no need for a wheelchair. There certainly may be some who do need a wheelchair but their doctor should be the one who recommends it, or perhaps a physical therapist if they are associated with one. ...Read more

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What's the first treatment of syncope?

Syncope : A good medical, neurological, cardiopulmonary evaluation. Find reversible and treatable causes. Keep patient stable. ...Read more

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How is syncope diagnosed in expectant mothers?

How is syncope diagnosed in expectant mothers?

Limited: Due to the pregnancy, labs, 2 echo and holter would be first studies ordered. 30day event recorder may be needed if symptoms are intermittant. Really can't do stress testing or tilt table tests.She needs to stay hydrated , dont get up too quickly, eat regularly, get plenty of sleep, support socks. BP should be taken with pt lying then sitting then standing to see if BP drops severly or becomes symp. ...Read more

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Are there any treatments for convulsive syncope?

Are there any treatments for convulsive syncope?

Yes: First, correct the cause of syncope. If the cause of syncope is not readily treatable, use anticonvulsants to control the seizures. And use them on a regular basis, as opposed to when you are feeling symptomatic, ie "pre-syncopal". ...Read more

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Syncope episode feb. Strange sxs since dec. Tests, blood norm. Neuro wont discuss anything but epidode. Unable to chg dr. How to handle to get action.

Syncope episode feb. Strange sxs since dec. Tests, blood norm. Neuro wont discuss anything but epidode. Unable to chg dr. How to handle to get action.

"strange sxs": Can you elaborate on the new symptoms? Was the cause of the syncope established? Are you diabetc? Have you ever had a heart attack? Have you had further spells in which you feel faint? There are many other questions but no space here for them. ...Read more

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Epilepsy or syncope?

Common dilema: Whether an event is a seizure or syncope is a common question. You have had part of an evaluation for epilepsy. What needs to be done is see a cardiologist and have a tilt table study for syncope. ...Read more

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Is syncope the same thing as fainting?

Syncope.: temporary loss of consciousness from lowering of blood pressure or insufficient oxygen supply to the brain. Can be sometimes used interchangeably. ...Read more

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How is syncope different from fainting?

No difference: Syncope is commonly used in medical settings, while fainting is used in everyday language, both to mean the same thing. ...Read more

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Will a person have syncope all his life?

Usually not: Syncope can be infrequent in most people without an underlying medical diagnosis. Many times simple lifestyle adjustments can diminish or stop future episodes. It really depends upon the individual. ...Read more

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Must I seek immediate help if I have syncope?

Must I seek immediate help if I have syncope?

Depends: Passing out is common and common causes are emotion, dehydration, medications. Depending on age abnormalities of heart rhythm become more prevalent. Rare entities such as cardiomyopathy are possible in younger patients. If first episode and there is a clear precipitant it is probably not necessary to see doc. If this is recurrent or there is no clear explanation see doc soon. ...Read more

Passed Out (Definition)

Or passing out implies loss of consciousness. Frequently a cardiac ...Read more