Comparisons of FEES failure, safety profiles, and discomfort level Current study Setting Tertiary inpatient/ outpatient gastroenterology practice Diameter of endoscopes 5 mm Number of patients 268 Number of examinations 303 Failure of FEES 5 (1.7%) Laryngospasm 0 Epistaxis 22 (7.3%) Vasovagal syncope
0 Airway compromise 1 (0.3%) Significant cardiovascular change 0 Pre/post examination mean heart rate 79.8/80.8 ([double dagger]) Pre/post examination mean SBP 137.3/139.7 ([double dagger]) Pre/post examination mean DBP 83.0/84.4 ([double dagger]) Patient discomfort None 130 (43.6%) Mild 149 (50 %) Moderate 18 (6%) Severe 1 (0.3%) Aviv et al.
Head-up tilt testing for diagnosing vasovagal syncope
: a meta-analysis.
There is no effective medication for vasovagal syncope
. Treatment consists of compression stockings, salt and fluids.
We found that prodromes were more prevalent but did not significantly predict the occurrence of events in patients with vasovagal syncope
and orthostatic hypotension when compared to cardiogenic syncope and syncope due to an unknown cause.
Shen, "Vasovagal syncope
," Annals of Internal Medicines, vol.
Hemodynamic effects of leg crossing and skeletal muscle tensing during free standing in patients with vasovagal syncope
. J Appl Physiol.
A helpful tip for diagnosing the less worrisome vasovagal syncope
is asking whether a patient was sitting to standing or standing a long time before an episode, Dr.
Taken together, these findings suggest that reduced active ventricular filling during atrial systole plays an important role in the pathogenesis of vasovagal syncope
. This reduction is not caused by reducing ventricular filling.
2015 heart rhythm society expert consensus statement on the diagnosis and treatment of postural tachycardia syndrome, inappropriate sinus tachycardia, and vasovagal syncope
. Heart Rhythm 2015;12:e41-e63.
The patient's past medical history included osteopenia, dyslipidemia, and vasovagal syncope
, averaging one to 2 events per year.
Another possible cause is vasovagal syncope
. This happens when the vagus nerve--the longest of the cranial nerves, extending from the brainstem to the abdomen--is briefly stimulated and lowers both your heart rate and blood pressure.
. The sheriff stated that there was no evidence that any doctor told him that he had a susceptibility to episodes of neurocardiogenic syndrome, let alone a vasovagal syncope
, and this meant he should not drive.