Cardiovascular Medicine Book

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Vasodepressor Syncope

Aka: Vasodepressor Syncope
  1. See Also
    1. Syncope
    2. Syncope Causes
    3. Vasovagal Syncope
  2. Category
    1. Carotid Sinus Hypersensitivity
  3. Symptoms
    1. Orthostasis
  4. Signs
    1. Prevent Bradyarrhythmia with Atropine
    2. Carotid Sinus Massage
      1. Systolic Blood Pressure falls 50 mmHg
      2. Differentiates from Cardioinhibitory Syncope
  5. Differential Diagnosis
    1. See Syncope Causes
    2. Cardioinhibitory Syncope
  6. 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)
  7. References
    1. Runser (2017) Am Fam Physician 95(3): 303-12 [PubMed]

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