Top
20
Doctor insights on: Cardio Neuro Syncope

Share
1

1
What's psychogenic vs neurocardiogenic syncope?

What's psychogenic vs neurocardiogenic syncope?

Syncope: Psychogenic syncope has no underlying cardiac or neurologic casues usually the result of a psychiatric issue. Neurogenic syncope can result from cardiac disease such as an arrythmia or the result of blood pressure instability. Cardiac eval and tilt table testing can often help diagnose the causes. ...Read more

Dr. Rajiva Goyal
1,205 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


2

2
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

3

3
Male 22 have postural orthostatic tachycardia syndrome. Resting hr 50. Need midodrine but hr will go lower. Pacemaker?

Male 22 have postural orthostatic tachycardia syndrome.  Resting hr 50. Need midodrine but hr will go lower. Pacemaker?

No pacemaker: Drink lots of fluids, increase salt intake (do both at once with gatoraide. Considering your age hang in there it may decrease in a few years especially if it started with your growth spurt. I doubt your resting hr is an issue. Carefully starting an excercize program may also help, i suggest starting with an indoor recumbent exercycle proamatine is a good choice, beta blockers or ssris may help. ...Read more

4

4
Chest pains. Echo scan = septal hypokinesis. Hr 138 BP 138/90. Ambulance to a&e. Doc says possible pericarditis. A&e says muscular skelelightous.

Chest pains. Echo scan = septal hypokinesis. Hr 138 BP 138/90. Ambulance to a&e. Doc says possible pericarditis. A&e says muscular skelelightous.

Pericarditis or not?: Pericarditis should not result in septal hypokinesis by echo. You may have myopericarditis (involvement of the heart muscle and the coverings of the heart), or a false-positive finding by echo (sometimes it looks like hypokinesis but it is actually not). Pulse rate is high but does happen with chest pain or discomfort. Your age makes coronary (heart disease) unlikely. You need to see a heart doc! ...Read more

5

5
Ecg , cardiac echo, heart enzyme , chest ct, cardiac angio ct, all ok.Still resting heart pulse 53-62.Increase when move.Exclude cardiac issue?

Ecg , cardiac echo, heart enzyme , chest ct, cardiac angio ct, all ok.Still resting heart pulse 53-62.Increase when move.Exclude cardiac issue?

Normal : Low heart rates w/out symptoms can be nl in healthy active individuals. The fact that ur hr increases w/ movement is helpful and points towards normalcy. ...Read more

6

6
Neuro exam,EMG, MRI of brain normal. No spinal MRI done. Weak, shaky legs and dizzy a lot. Off balance. Fatigue, fascilations. MS? GAD?Neuro?

Neuro exam,EMG, MRI of brain normal.  No spinal MRI done.  Weak, shaky legs and dizzy a lot.  Off balance.  Fatigue, fascilations. MS? GAD?Neuro?

Symptoms, tests nl: (nl=normal) It's tough to explain the cause of your symptoms, especially with a normal MRI of the brain, neuro exam and EMG. What about blood tests? What about other symptoms? There is probably a missing clue somewhere. It's not clearly in the neck. Anxiety can cause this too, but that is hard to prove. ...Read more

See 2 more doctor answers
9

9
Would Multiple System atrophy cause dizzy, tach up to 180bpm, shaky, memory issues, vision problems, twitching,, headaches, high epinephrine...?

Would Multiple System atrophy cause dizzy, tach up to 180bpm, shaky, memory issues, vision problems, twitching,, headaches, high epinephrine...?

Never seen 180 BPM: I've treated many a patient with MSA and recently lost a patient who was a good friend of mine to the same diagnosis after his 10 year battle. I've never seen a heart rate of 180 BPM. That's not autonomic dysfunction anymore as much as sinus node problem with the heart itself. MSA will cause more disruption of a dramatic nature with blood pressure but not escalate heart rate to those extremes. ...Read more

12

12
I had breathlessness, palpitation.In icu, pulmonary edema found, fixed by lasix (furosemide). Lvef 38-45%, hr 75-90, HDL 61, LDL 155, BP 130/80. Do i need CT angiography or catheter angiography, cardiac eps?

I had breathlessness, palpitation.In icu, pulmonary edema found, fixed by lasix (furosemide). Lvef 38-45%, hr 75-90, HDL 61, LDL 155, BP 130/80. Do i need CT angiography or catheter angiography, cardiac eps?

More info: At this moment not enough info. Pulm edema is a serious problem. Most commonly from heart failure. But, can happen from a severe chronic lung disease, exacerbated. From volume overload in renal failure, liver failure/cirrhosis, severe acute lung injury from trauma, pneumonia, cancer, etc. Are you out of the hospital? ...Read more

See 1 more doctor answer
13

13
Frequent syncope episode. Low BP (+/- 90/60). New onset of MVP & AF. EEG show no epilepsi. Scheduled for EMG next week. Is it cardiac or neuro issue?

Frequent syncope episode. Low BP (+/- 90/60). New onset of MVP & AF. EEG show no epilepsi. Scheduled for EMG next week. Is it cardiac or neuro issue?

Most syncope...: From observational studies, most syncopal episodes are cardiac in origin. It appears that you already have clues on etiology based on history of low BP, dysrhythmias and an EEG which at least by report doesn't show epileptiform activity. It's unclear why you are having an EMG. Follow up with your cardiologist on the current test results for further assessment. ...Read more

See 1 more doctor answer
14

14
Trouble breathing, rapid heart rate, EKG revealed flattened t waves. Doc ordered echo consulted cardio who added nuclear stress test. Is this serious?

Trouble breathing, rapid heart rate, EKG revealed flattened t waves. Doc ordered echo consulted cardio who added nuclear stress test. Is this serious?

SOB : The description doesn't provide enough specific information to know the problem. There may be heart abnormalities suggested by symptoms and tests which require further investigation. You should ask the doctors with the information specific to you. ...Read more

See 1 more doctor answer
15

15
Postural orthostatic tachycardia syndrome. Bp 94/50-120/80. Would fludocortisone bring my BP up? Male 22.

Postural orthostatic tachycardia syndrome.  Bp 94/50-120/80. Would fludocortisone bring my BP up?  Male 22.

It may: In pots, your body does not adjust your blood pressure adequately when you stand up (and your heart has to fight gravity to keep blood going to your head). Fludrocortisone helps keep your blood volume higher by making you retain more salt and water, so you are less likely to suffer symptoms from your pots. ...Read more

See 1 more doctor answer
18

18
Would echo,ekg,stress test,xray,bloodwork rule out any arrhythmia problem such as premature ventricular contraction and paroxysmal atrial fibrillation?

Would echo,ekg,stress test,xray,bloodwork rule out any arrhythmia problem such as premature ventricular contraction and paroxysmal atrial fibrillation?

No: Occasional PVCs are normal. Paroxysmal atrial fibrillation by definition is only present some of the time and the tests you list could easily miss this if done while the heart is in normal rhythm. Diagnosis of intermittent arrhythmias can be difficult and frequently requires consultation with a cardiologist subspecialized in electrophysiology, Holter monitor test is frequently used. ...Read more

See 1 more doctor answer
19

19
What conditions cause constant downbeat nystagmus? Brain herniation & tonsillar descent on brain & IAC MR dizzy headaches pressure induced symptoms

What conditions cause constant downbeat nystagmus? Brain herniation & tonsillar descent  on brain & IAC MR dizzy headaches pressure induced symptoms

Disturbing signs...: What you are describing are symptoms and signs of increased intracranial pressure from brain tumor or intracranial hypotension from spontaneous cerebrospinal fluid leak or Chiari Malformation. In other words, could be a lot of different things. You need to see a Neurosurgeon as the findings on your MRI are serious and may need surgery. Go and get a good and thorough and consultation. ...Read more

20

20
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

See 1 more doctor answer

Passed Out (Definition)

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