Syncope

Descriptive text is not available for this imageBASICS

DESCRIPTION

Brief loss of consciousness due to transient cerebral hypoperfusion with loss of postural tone and spontaneous recovery

GENERAL PREVENTION

  • Avoiding circumstances predisposing to the most common form of syncope (vasovagal)
  • Sitting or lying down when warning signs occur
  • Maintaining adequate hydration, especially during illness/exertion

PATHOPHYSIOLOGY

The most common mechanism is vasovagal or neurocardiogenic in which a variety of stimuli and conditions—pain, heat, dehydrated state, emotional upset, carotid pressure—trigger increased vagal tone, leading to slowed heart rate, peripheral vasodilatation, and decreased cerebral perfusion.

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