Vasodepressor Syncope

Sep 16, 2019 admin THẦN KINH, TIM MẠCH 0

Vasodepressor Syncope

Aka: Vasodepressor Syncope

II. Category

  1. Carotid Sinus Hypersensitivity

III. Symptoms

  1. Orthostasis

IV. Signs

  1. Prevent Bradyarrhythmia with Atropine
  2. Carotid Sinus Massage
    1. Systolic Blood Pressure falls 50 mmHg
    2. Differentiates from Cardioinhibitory Syncope

V. Differential Diagnosis

  1. See Syncope Causes
  2. Cardioinhibitory Syncope

VI. Management

  1. Discontinue Beta Blockers
  2. Discontinue other antihypertensive medications
  3. Consider support stockings
  4. Consider Fludrocortisone (water and salt retention)
  5. Consider alpha agonists such as Midodrine (Vasoconstrictor)
  6. Avoid Pacemaker (not effective)

VII. References

  1. Runser (2017) Am Fam Physician 95(3): 303-12 [PubMed]

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