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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 ]
Reflex syncope can occur in otherwise healthy individuals, and has many possible causes, often trivial ones such as prolonged standing with the legs locked. [ citation needed ] The main danger of vasovagal syncope (or dizzy spells from vertigo) is the risk of injury by falling while unconscious.
Orthostatic syncope refers to syncope resulting from a postural decrease in blood pressure, termed orthostatic hypotension. [1]Orthostatic hypotension occurs when there is a persistent reduction in blood pressure of at least 20mmHg systolic or 10mmHg diastolic within three minutes of standing or being upright to 60 degrees on the head-up tilt table.
Heat syncope is fainting or dizziness as a result of overheating (syncope is the medical term for fainting). It is a type of heat illness. The basic symptom of heat syncope is fainting, with or without mental confusion. [1] Heat syncope is caused by peripheral vessel dilation, resulting in diminished blood flow to the brain and dehydration.
A tilt table test (TTT), occasionally called upright tilt testing (UTT), is a medical procedure often used to diagnose dysautonomia or syncope. Patients with symptoms of dizziness or lightheadedness, with or without a loss of consciousness ( fainting ), suspected to be associated with a drop in blood pressure or positional tachycardia are good ...
Lightheadedness is very similar to pre-syncope. Pre-syncope is the immediate stage before syncope (fainting), particularly in cases of temporary visual field loss (i.e. vision getting "dark" or "closing in").
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Syncope occurs in approximately 1% of patients given an initial dose of 2 mg prazosin or greater. This adverse effect is self-limiting and in most cases does not recur after the initial period of therapy or during subsequent dose titration. [3] The alpha blocker prazosin (Minipress) is most notorious for producing a first dose phenomenon.