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Episodes of vasovagal syncope are typically recurrent and usually occur when the predisposed person is exposed to a specific trigger. Before losing consciousness, the individual frequently experiences early signs or symptoms such as lightheadedness, nausea, the feeling of being extremely hot or cold (accompanied by sweating), ringing in the ears, an uncomfortable feeling in the heart, fuzzy ...
Causes: Hypotension, hypoglycaemia, arrhythmia, anaemia, hypokalaemia, thrombosis, water intoxication, dehydration: Risk factors: Poor dietary or diabetic management, genetic predisposition to cardiac arrhythmia: Diagnostic method: Based on symptoms. Some thrombotic pre-syncope may be indicated by a troponin serum level. Treatment: Dependent on ...
After describing the known mechanisms of blood glucose regulation, the authors call for more research: The body's normal response to carbohydrate ingestion includes elaboration of an as yet unidentified hormonal (gut) factor from the upper intestine. They say that a glucose tolerance test is appropriate but caution that:
Low blood pressure and a fast heart rate after the event may indicate blood loss or dehydration, while low blood oxygen levels may be seen following the event in those with pulmonary embolism. [1] More specific tests such as implantable loop recorders , tilt table testing or carotid sinus massage may be useful in uncertain cases. [ 1 ]
In contrast, the hormone glucagon is released by the pancreas as a response to lower than normal blood sugar levels. Glucagon initiates uptake of the stored glycogen in the liver into the bloodstream so as to increase glucose levels in the blood. [19] Sporadic, high-carbohydrate snacks and meals are deemed the specific causes of sugar crashes.
The vagovagal reflex is active during the receptive relaxation of the stomach in response to swallowing of food (prior to it reaching the stomach). When food enters the stomach a "vagovagal" reflex goes from the stomach to the brain, and then back again to the stomach causing active relaxation of the smooth muscle in the stomach wall.
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