Neurally Mediated Syncope Quiz
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Reviewed By:
Shohei Harase, MD (Neurology)
Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.
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Learn more about Neurally mediated syncope
Content updated on Sep 20, 2022
What is neurally mediated syncope?
Neurally mediated syncope or vasovagal syncope is a sudden drop in heart rate and blood pressure resulting fainting. Common triggers include strain, stress, long periods of standing, heat exposure or sight of blood or something unpleasant.
Symptoms of neurally mediated syncope
Losing consciousness
Feeling fatigued in the morning
Feeling lightheaded or fainting after passing urine or stool
Have ever fainted after standing up
Fainting from severe pain
Nausea or vomiting after eating
Fainted when coughing
Questions your doctor may ask to check for neurally mediated syncope
Your doctor may ask these questions to diagnose neurally mediated syncope
Have you currently regained consciousness after temporarily losing consciousness?
Do you normally feel fatigued in the mornings?
Did you feel dizzy or faint after passing stool or urine?
Have you ever lost consciousness after standing up?
Have you ever lost consciousness due to extreme pain?
Treatment for neurally mediated syncope
Treatment usually involves behavioral modifications, trigger avoidance and medication. Rarely a pacemaker may be required.
View the symptoms of Neurally mediated syncope
Diseases related to Neurally mediated syncope
References
Freeman R, Wieling W, Axelrod FB, Benditt DG, Benarroch E, Biaggioni I, Cheshire WP, Chelimsky T, Cortelli P, Gibbons CH, Goldstein DS, Hainsworth R, Hilz MJ, Jacob G, Kaufmann H, Jordan J, Lipsitz LA, Levine BD, Low PA, Mathias C, Raj SR, Robertson D, Sandroni P, Schatz I, Schondorff R, Stewart JM, van Dijk JG. Consensus statement on the definition of orthostatic hypotension, neurally mediated syncope and the postural tachycardia syndrome. Clin Auton Res. 2011 Apr;21(2):69-72. doi: 10.1007/s10286-011-0119-5. PMID: 21431947.
https://link.springer.com/article/10.1007/s10286-011-0119-5
Țentea CP, Eötvös CA, Lazar RD, Paștiu G, Zehan IG, Andrei MG, Porca A, Jelnean M, Chiorescu RM, Mocan-Hognogi LD, Pop S, Blendea D. Electrocardiographic Patterns in Patients with Neurally Mediated Syncope. Medicina (Kaunas). 2021 Aug 6;57(8):808. doi: 10.3390/medicina57080808. PMID: 34441014; PMCID: PMC8399501.
https://www.mdpi.com/1648-9144/57/8/808
Zaqqa M, Massumi A. Neurally mediated syncope. Tex Heart Inst J. 2000;27(3):268-72. PMID: 11093411; PMCID: PMC101078.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC101078/
Kenny RA. Neurally mediated syncope. Clin Geriatr Med. 2002 May;18(2):191-210, vi. doi: 10.1016/s0749-0690(02)00005-8. PMID: 12180243.
https://www.geriatric.theclinics.com/article/S0749-0690(02)00005-8/fulltext
Reviewed By:
Shohei Harase, MD (Neurology)
Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.
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Obstetrics and gynecology (OBGYN)
National Center for Child Health and Development, Japan