what is the treatment for vasovagal syncope

by Miss Elyse Grant Published 3 years ago Updated 2 years ago

A drug called fludrocortisone acetate that's normally used to treat low blood pressure may be helpful in preventing vasovagal syncope. Selective serotonin reuptake inhibitors also may be used. Therapies. Your doctor may recommend ways to decrease the pooling of blood in your legs.Feb 19, 2021

Medication

Feb 19, 2021 · A drug called fludrocortisone acetate that's normally used to treat low blood pressure may be helpful in preventing vasovagal syncope. Selective serotonin reuptake inhibitors also may be used. Therapies. Your doctor may recommend ways to …

Procedures

Feb 10, 2022 · Those that have been shown to be of some help in the treatment of vasovagal syncope include: Midodrine, a drug that causes narrowing (constriction) of the blood vessels Norpace (disopyramide), an antiarrhythmic drug that regulates your heartbeat Selective serotonin reuptake inhibitors (a type of antidepressant)

Self-care

May 13, 2022 · The main form of treatment for vasovagal syndrome is the adoption of measures to avoid the triggering causes and prevent new crises, such as not standing for a long time, getting up quickly, staying in a very hot environment or being very stressed.

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The treatment of VVS focuses on measures that interrupt or prevent its pathophysiologic mechanism, as well as on avoidance of triggers. Although the evidence supporting an increase in salt and water intake is weak, it is a cost-effective and safe strategy that should always be used as first-line therapy.

How does salt and water prevent vasovagal syncope?

The immediate treatment of vasovagal syncope involves laying the individual down with their legs elevated, in order to help increase the venous return to the heart and to restore adequate brain perfusion. In most cases, vasovagal syncope only lasts for a few seconds and there is usually a spontaneous recovery requiring no further medical attention.

How to stop vasovagal syncope during bowel movement?

There is no specific treatment for the condition, but it is possible to take measures to prevent syncope, such as reducing stress, staying hydrated and exercising. The exact causes that lead to the onset of vasovagal syndrome are not yet clear, but this change is more common in young people aged 20 to 30, and in elderly people over 70 years old.

What is vasovagal syncope, and why does it happen?

TREATING VASOVAGAL SYNCOPE 15 VVS Treatment Strategy Occasional episode —reassure, fluid/salt, counterpressure maneuvers No episode in previous year —no Rx Recurrent VVS —conservative Rx, eliminate drugs causing hypotension Recurrent VVS —fludrocortisone, —midodrine or —β-blockers (over age 40) 16 Placebo vs no pill control

What are the most common causes of syncope?

Feb 14, 2022 · A. Initiate midodrine. B. Refer for pacemaker placement. C. Refer for cardioneuroablation. D. Patient education with nonpharmacologic interventions. Show Answer. The correct answer is: D. Patient education with nonpharmacologic interventions. This patient is having occasional episodes of vasovagal syncope.

What is the best treatment for vasovagal syncope?

Passively raising or propping up your legs in the air can also help. To immediately treat someone who has fainted from vasovagal syncope, help the person lie down and lift their legs up in the air. This will restore blood flow to the brain, and the person should quickly regain consciousness.

Can vasovagal be cured?

Vasovagal syncope is usually harmless and requires no treatment. But it's possible that you may injure yourself during a vasovagal syncope episode. Your doctor may recommend tests to rule out more-serious causes of fainting, such as heart disorders.Feb 19, 2021

What triggers vasovagal syncope?

Vasovagal syncope (also called cardio-neurogenic syncope)

Vasovagal syncope is the most common type of syncope. It is caused by a sudden drop in blood pressure, which causes a drop in blood flow to the brain. When you stand up, gravity causes blood to settle in the lower part of your body, below your diaphragm.May 14, 2019

Is vasovagal syncope a heart condition?

Vasovagal syndrome is a heart condition that can cause a sudden, rapid drop in heart rate and blood pressure, which leads to fainting. The condition may also be described as a vasovagal or neurocardiogenic syncope, or vasovagal attack.

What medications are used to treat syncope?

Many drugs have been used in the treatment of vasovagal syncope (β‐blockers, disopyramide, scopolamine, clonidine, theophylline, fludrocortisone, ephedrine, etilefrine, midodrine, clonidine, serotonin reuptake inhibitors, etc).

Does your heart stop during vasovagal syncope?

For syncope to occur due to this problem, the heart usually has to stop for at least 6 to 10 seconds. This is known as a sinus "pause." Heart block — Sometimes, part of the conduction system between the sinus node and the rest of the heart becomes disrupted due to heart disease.Nov 23, 2021

Does anxiety cause vasovagal syncope?

One of the most common reasons people faint is in reaction to an emotional trigger. For example, the sight of blood, or extreme excitement, anxiety or fear, may cause some people to faint. This condition is called vasovagal syncope.Apr 13, 2018

Is vasovagal syncope a neurological disorder?

Vavovagal syncope (VVS) is not generally associated with cardiovascular, neurological or other diseases, and, therefore, represents an isolated manifestation.

How long does a vasovagal episode last?

Although vasovagal syncope may seem alarming, the episode is usually brief. The accompanying symptoms usually disappear quickly. It may take a good 15 minutes before the blood flow to the brain is restored and this depends on the triggering event.Jun 22, 2021

Is syncope a symptom of COVID-19?

Conclusion: Syncope, although not considered a typical symptom of COVID-19, can be associated with it, particularly in early stages.

What causes vasovagal syncope?

Besides reacting to the sight of something that scares you, or a having an intense emotional reaction, some other triggers that can cause a vasovagal syncope include: standing after sitting, bending, or lying down. standing for a long time. getting overheated. intense physical activity. severe pain. intense coughing.

Can vasovagal syncope cause fainting?

It’s the most common cause of fainting. Vasovagal syncope is sometimes referred to as a neurocardiogenic or reflex syncope. Anyone can experience vasovagal syncope, but it tends to be more common in children and young adults. This type of fainting happens to men and women in equal numbers. Although some causes of fainting can be a sign ...

What are the signs of fainting?

lightheadedness or dizziness. feeling sweaty or clammy. nausea. blurry vision. weakness. If you typically experience these warning signs before fainting, it’s a good idea to lie down to help increase the blood flow to your brain.

Do you need medical treatment for vasovagal syncope?

People who have a single, isolated episode of vasovagal syncope generally do not require any medical therapy at all. 5 But if you have had recurrent episodes, you are likely to have even more episodes unless you are effectively treated.

Is vasovagal syncope rare?

Vasovagal syncope is a very common condition. Fortunately, it usually occurs in rare, isolated episodes or during a limited period of time . Most people who have vasovagal syncope lead entirely normal lives.

Does dysautonomia cause vasovagal syncope?

Many people who have dysautonomia also display a tendency to have vasovagal syncope; indeed, it seems likely that many people with recent vasovagal syncope may actually have a form of dysautonomia. Since some dysautonomias respond favorably to exercise, exercise may likely have a similar benefit to people with vasovagal syncope.

Can you have more than one episode of vasovagal syncope?

If you have had vasovagal syncope—especially more than one episode—you should learn as much as you can about this condition, including what kinds of things provoke it, how to recognize the warning symptoms and how you might stop an episode.

What is the term for a sudden loss of consciousness caused by a neurological reflex?

Vasovagal syncope (also called neurocardiogenic syncope) is a temporary loss of consciousness caused by a neurological reflex that produces either sudden dilation of the blood vessels in the legs, or a very slow heart rate (bradycardia), or both. 2

What is it called when you lose consciousness after being revived?

While the loss of consciousness with vasovagal syncope can be quite sudden, more characteristically it is preceded by a few seconds or a few minutes of warning symptoms. These symptoms are sometimes referred to as a “prodrome” of syncope. Those that occur after you are revived are called "postdromal." 3

What causes blood vessels to dilate?

Vasovagal syncope occurs when something triggers the vasovagal reflex, causing the blood vessels to suddenly dilate. Dilation of the blood vessels causes a significant proportion of the blood volume to pool in the legs. 5

Treatment FAQ