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Syncope ((syncope ⓘ), commonly known as fainting or passing out, is a loss of consciousness and muscle strength characterized by a fast onset, short duration, and spontaneous recovery. [1] It is caused by a decrease in blood flow to the brain , typically from low blood pressure . [ 1 ]
Apart from treating underlying reversible causes (e.g., stopping or reducing certain medications, treating autoimmune causes), several measures can improve the symptoms of orthostatic hypotension and prevent episodes of syncope (fainting). Even small increases in the blood pressure may be sufficient to maintain blood flow to the brain on standing.
Enquiry includes difficulty with walking and balance, medication use to help with sleep/mood, loss of sensation in feet, vision problems, fear of falling, and use of assistive devices for walking. Older adults who report falls should be asked about their circumstances and frequency to assess risks from gait and balance which may be compromised.
Trouble walking or loss of balance and coordination. Cardiac arrest. Cardiac arrest is a medical emergency when your heart stops beating suddenly. It’s sometimes mistakenly called a heart attack ...
Your doctor can help you get to the bottom of the symptoms and find relief. That could mean anything from adjusting your medications to working with a physical therapist to address any balance issues.
Problems with balance can occur when there is a disruption in any of the vestibular, visual, or proprioceptive systems. Abnormalities in balance function may indicate a wide range of pathologies from causes like inner ear disorders, low blood pressure, brain tumors, and brain injury including stroke. [citation needed]
Neurogenic shock is a distributive type of shock resulting in hypotension (low blood pressure), often with bradycardia (slowed heart rate), caused by disruption of autonomic nervous system pathways. [1]
[2] [4] If this is insufficient for treating vasovagal syncope, medications such as midodrine or fludrocortisone may be tried. [4] Occasionally, a cardiac pacemaker may be used as treatment. [2] Reflex syncope affects at least 1 in 1,000 people per year. [1] It is the most common type of syncope, making up more than 50% of all cases. [2]