Neurally Mediated Syncope Quiz

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Shohei Harase

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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People with these 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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Learn more about Neurally mediated syncope

Content updated on Sep 20, 2022

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 the 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

  • Nausea or vomiting after eating

  • Fainting from severe pain

  • 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?

  • Do you have nausea or vomiting immediately after you eat?

Treatment for neurally mediated syncope

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

View the symptoms of Neurally mediated syncope

  • Faint

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:

Shohei Harase

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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Shohei Harase

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