Can syncope be treated with medication?

Can syncope be treated with medication?

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).

Can you recover from syncope?

Recovery after a vasovagal episode generally begins in less than a minute. However, if you stand up too soon after fainting — within about 15 to 30 minutes — you’re at risk of fainting again.

Which medicine is best for fainting?

Source: Sheldon RS, et al. Ann Intern Med.

Is syncope a medical emergency?

The SFSR ECG criteria predicted 36 of 42 patients with cardiac outcomes, with a sensitivity of 86%, a specificity of 70%, and a negative predictive value of 99%. Syncope may be the manifestation of an acute life-threatening process but is generally not an emergency.

Should I see a neurologist for syncope?

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.

How do they test for syncope?

Diagnosing vasovagal syncope often begins with a physical examination. During the physical exam, your doctor will listen to your heart and take your blood pressure. He or she may also massage the main arteries in your neck to see if that causes you to feel faint.

Should I go to the ER for syncope?

‘ If you have fainted, you should see a physician or visit an emergency room right away to identify the cause of your fainting and to ensure you do not have a serious underlying condition. Generally, fainting indicates a drop in blood pressure resulting in too little blood (and, hence, oxygen) reaching your brain.

How can syncope be prevented?

These might include:

  1. Avoiding triggers, such as standing for a long time or the sight of blood.
  2. Moderate exercise training.
  3. Discontinuing medicines that lower blood pressure, like diuretics.
  4. Eating a higher salt diet, to help keep up blood volume.
  5. Drinking plenty of fluids, to maintain blood volume.
  • October 23, 2022