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Vasodepressor Syncope

See Also
1. Syncope
2. Syncope Causes
3. Vasovagal Syncope
Category
1. Carotid Sinus Hypersensitivity
Symptoms
1. Orthostasis
Signs
1. Prevent bradyarrhythmia with Atropine
2. Carotid Sinus Massage
  1. Systolic Blood Pressure falls 50 mmHg
  2. Differentiates from Cardioinhibitory Syncope
Differential Diagnosis
1. See Syncope Causes
2. Cardioinhibitory Syncope
Management
1. Discontinue Beta Blockers
2. Discontinue other antihypertensive medications
3. Consider support stockings
4. Consider mineralocorticoid
5. Consider alpha agonists (Midodrine)
6. Avoid Pacemaker (not effective)

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