Is near syncope serious?

For most people, syncope occurs once in a great while, if ever, and is not a sign of serious illness. However in others, syncope can be the first and only warning sign prior to an episode of sudden cardiac death. Syncope can also lead to serious injury. Talk to your physician if syncope happens more often.

Near syncope is often caused by A drop in your blood pressure that happens when you stand up quickly. The following can increase your risk for near syncope: Certain medicines, such as medicine to lower your blood pressure. Dehydration.

Presyncope or near-syncope is often ill-defined and may have different meanings to different providers but denotes near fainting or a prodrome of syncope. The most uniform definition is “feeling like one was going to pass out but without actual loss of consciousness.” Near syncope can last for Seconds to minutes.

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.

Fainting (syncope) is a temporary loss of consciousness (passing out). This happens when blood flow to the brain is reduced. Near-fainting (near-syncope) is Like fainting, but you do not fully pass out. Instead, you feel like you are going to pass out, but do not actually lose consciousness.

It has been reported that recurrent syncope episodes can lead to impairment of short-term memory. However, to date, The exact evidence of structural brain damage after syncope has not been reported.

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.

Cardiac pacing, implantable cardioverter‐defibrillators, and catheter ablation Are the usual treatments of syncope caused by cardiac arrhythmias, depending on the mechanism of syncope.

Postural syncope (also called postural hypotension)

Cardiac syncope is caused by a heart or blood vessel condition That affects blood flow to the brain.

Departments that treat this condition

• Cardiovascular Medicine.
• Neurology.

There is no standard treatment that can cure all causes and types of vasovagal syncope. Treatment is individualized based on the cause of your recurrent symptoms. Some clinical trials for vasovagal syncope have yielded disappointing results. If frequent fainting is affecting your quality of life, talk to your doctor.

If history of syncope: No driving until the condition has been satisfactorily controlled /treated. No driving if arrhythmia caused / is likely to cause incapacity. Resume driving only if cause identified and arrhythmia controlled for at least 4 weeks.

Syncope is a temporary loss of consciousness usually related to insufficient blood flow to the brain. It’s also called fainting or “passing out.” It most often occurs when Blood pressure is too low (hypotension) and the heart doesn’t pump enough oxygen to the brain.

ANS evaluation including tilt testing should be considered as preliminary screening in patients with syncope in the absence of definite heart abnormalities. Neurologists should consider syncope from ANS failure as a comorbid factor in patients with seizures where the clinical characteristics are not straightforward.

Strokes or near strokes rarely can cause syncope. A particular subtype of stroke that affects the back of the brain may result in a sudden loss of stability and a fall, but consciousness is usually maintained.

It is recommended that you lay the person down and elevate their feet. Most people will recover quickly after fainting once they lay down because more blood can flow to your brain.

Vasovagal Syncope

It might be more likely to occur if the patient is relatively dehydrated, is exposed to extreme heat, has been standing for a long period of time, is sleep deprived or is under a lot of stress. After fainting due to a vasovagal episode, it is not uncommon for the person to have cold or clammy skin.

To prevent fainting, Stay out of hot places and don’t stand for long periods. If you feel lightheaded, nauseous, or sweaty, lie down right away and raise your legs. Most people with occasional vasovagal syncope need to make only lifestyle changes such as drinking more fluids and eating more salt.

Drugs commonly implicated in syncope include the following:

• Agents that reduce blood pressure (eg, antihypertensive drugs, diuretics, nitrates)
• Agents that affect cardiac output (eg, beta blockers, digitalis, antiarrhythmics)

Complications

• Recurrent syncope has serious effects on quality of life. …
• Morbidity is particularly high in the elderly and includes loss of confidence, reduced mobility, depressive illness, fear of falling, fractures and subsequent institutionalisation.

To prevent fainting, Stay out of hot places and don’t stand for long periods. If you feel lightheaded, nauseous, or sweaty, lie down right away and raise your legs. Most people with occasional vasovagal syncope need to make only lifestyle changes such as drinking more fluids and eating more salt.

If you’ve had more than one episode of presyncope, try to avoid possible triggers such as:

1. Standing up too quickly.
2. Spending long periods of time on your feet.
3. Hot, stuffy rooms.
4. Spending too much time out in the hot sun.
5. Exercising in the heat.
6. Dehydration.
7. Drinking too much alcohol.
8. Skipping meals.