Neurally Mediated Syncope Quiz

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Reviewed By:

Benjamin Kummer, MD

Benjamin Kummer, MD (Neurology)

Dr Kummer is Assistant Professor of Neurology at the Icahn School of Medicine at Mount Sinai (ISMMS), with joint appointment in Digital and Technology Partners (DTP) at the Mount Sinai Health System (MSHS) as Director of Clinical Informatics in Neurology. As a triple-board certified practicing stroke neurologist and informaticist, he has successfully improved clinical operations at the point of care by acting as a central liaison between clinical neurology faculty and DTP teams to implement targeted EHR configuration changes and workflows, as well as providing subject matter expertise on health information technology projects across MSHS. | Dr Kummer also has several years’ experience building and implementing several informatics tools, presenting scientific posters, and generating a body of peer-reviewed work in “clinical neuro-informatics” – i.e., the intersection of clinical neurology, digital health, and informatics – much of which is centered on digital/tele-health, artificial intelligence, and machine learning. He has spearheaded the Clinical Neuro-Informatics Center in the Department of Neurology at ISMMS, a new research institute that seeks to establish the field of clinical neuro-informatics and disseminate knowledge to the neurological community on the effects and benefits of clinical informatics tools at the point of care.

Shohei Harase, MD

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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Content updated on Mar 31, 2024

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People with similar symptoms also use Ubie's symptom checker to find possible causes

  • Feel anxiety suddenly

  • Felt nauseous then fainted

  • Sweating followed by fainting

  • Fainting followed by a headache

  • Fainting when walking

  • Chest pain with fainting

  • Feeling faint before losing consciousness

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What is Neurally Mediated Syncope?

Neurally mediated syncope, also known as vasovagal syncope, is a sudden drop in heart rate and blood pressure that results in fainting. Common triggers include strain, stress, long periods of standing, exposure to heat, or emotionally upsetting situations (such as sight of blood).

Typical Symptoms of Neurally Mediated Syncope

  • Losing consciousness

  • Nausea or vomiting after eating

  • Fainted when coughing

  • Fainting from severe pain

  • Feeling lightheaded or fainting after passing urine or stool

  • Have ever fainted after standing up

  • Feeling fatigued in the morning

  • I tend to sweat excessively

Doctor's Diagnostic Questionson Neurally Mediated Syncope

Your doctor may ask these questions to check for this disease:

  • Have you temporarily lost consciousness?

  • Do you feel nauseous or throw up right after eating?

  • Have you ever passed out from coughing?

  • Have you ever passed out from severe pain?

  • Did you feel dizzy or faint after using the bathroom?

Treatmentof Neurally Mediated Syncope

Treatment typically involves behavior modifications, avoiding triggers, and medication. In rare cases, a pacemaker may be needed.

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Neurally Mediated Syncope

View the symptoms of Neurally Mediated Syncope

  • Faint

  • Sweating

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

User Testimonials

Reviewed By:

Benjamin Kummer, MD

Benjamin Kummer, MD (Neurology)

Dr Kummer is Assistant Professor of Neurology at the Icahn School of Medicine at Mount Sinai (ISMMS), with joint appointment in Digital and Technology Partners (DTP) at the Mount Sinai Health System (MSHS) as Director of Clinical Informatics in Neurology. As a triple-board certified practicing stroke neurologist and informaticist, he has successfully improved clinical operations at the point of care by acting as a central liaison between clinical neurology faculty and DTP teams to implement targeted EHR configuration changes and workflows, as well as providing subject matter expertise on health information technology projects across MSHS. | Dr Kummer also has several years’ experience building and implementing several informatics tools, presenting scientific posters, and generating a body of peer-reviewed work in “clinical neuro-informatics” – i.e., the intersection of clinical neurology, digital health, and informatics – much of which is centered on digital/tele-health, artificial intelligence, and machine learning. He has spearheaded the Clinical Neuro-Informatics Center in the Department of Neurology at ISMMS, a new research institute that seeks to establish the field of clinical neuro-informatics and disseminate knowledge to the neurological community on the effects and benefits of clinical informatics tools at the point of care.

Shohei Harase, MD

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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