Talk:Vasovagal syncope

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[edit] Expansion of page + Link to Chronic Fatigue Syndrome

If anyone wants to assist, I think this page could use some upkeep and expansion. As it stands right now this page is somewhat messy and missing some highly relevant information.
Here is a link to a highly informative online article on Orthostatic intolerance, in particular Neurally Mediated Hypotension (NMH, aka neurocardiogenic syncope), the condition most associated with vasovagal syncope.
This article needs more clarification of its connection to conditions such as NMH and to orthostatic intolerance in general.
Also, the treatment section should be updated, such as to mention the importance of increased salt and water consumption in fending off syncopal episodes.
Another topic worth mentioning, is the link between NMH (which can manifest as vasovagal syncope) and Chronic Fatigue Syndrome (CFS). This link is well documented in several peer reviewed journal articles (citations can be found here). It is also mentioned in an informative emedicine.com article on orthostatic intolerance, which will be valuable for updating this article (along with the wikipedia article on Orthostatic Intolerance). Here are a few other links discussing the connection between NMH (or vasovagal syncope) and CFS: [1] [2].
So, I propose that changes to this page and the Orthostatic Intolerance page should be made and be coordinated. Furthermore, these pages should be expanded and organized to give a clear definition of the relation of vaso-vagal syncope to conditions of orthostatic intolerance, to include the name(s) of the conditions which are associated with vaso-vagal syncope, and to include more information on treatment and the link to CFS.
One other question is whether these conditions should still be subsumed under the article vaso-vagal syncope, considering that vaso-vagal syncope is generally caused by the condition neurally mediated hypotension, yet NMH does not always result in syncope.
Jeffgmh 19:59, 9 November 2006 (UTC)


I'm removing the following sentence: "It is worth noting that on rare occasions, a fainter may die if forced to remain upright." Does anyone have a citation or study for this outcome? — Knowledge Seeker দ 06:03, 19 Apr 2005 (UTC)

As a sufferer i was given that exact advice from my doctor, if i am not allowed to sit or fall during a fit the blood loss to the brain can be fatal. --Seth Turner 10:44, 3 February 2006 (UTC)
  • Wow, I can't believe that I haven't looked at this talk page before now, or I would have answered this a long time ago. I have vasovagal syncope and I was told that by my former doctor (though I wasn't the one who originally put that in the article). The idea is, if there's low blood pressure and what little blood volume there is is pooling in the legs, then that means there won't be enough blood in the brain, and the brain will become starved for oxygen and other nutrients. Jacqui ★ 04:08, 10 November 2005 (UTC)

There does not need to be a study of death by inappropriate treatment documented many thousands of years ago and regrettably in more than one coroners report.

Actualy its more like seeing static than blurry vision. Like the snow screen you get when your telivision isnt tuned in. Baiscaly for me its total blindness during the syncope.--Seth Turner 10:44, 3 February 2006 (UTC)

There does need to be a citation for a comment like that. It doesn't have to be a randomized clinical trial. It could be a reference from a medical textbook. I personally think there is far more danger from being allowed to fall down and hit your head on the pavement. Yes, your blood pressure drops during vasovagal syncope, and yes, you should gently lie the patient down to a supine position. But death? From holding a vasovagal syncope upright? Sounds like mythology to me, but I'm willing to be proven wrong. MoodyGroove 19:29, 25 January 2007 (UTC)MoodyGroove

[edit] Ginger Ale?

How would ginger ale help? I haven't done any research outside of reading that line, but as far as I know, modern day ginger ale is no different from any other soda in terms of ingredients.

That entire line seems somewhat spurious, regardless, as the end of the sentence directly before it clearly mentions increasing fluid and salt intake. Plus there's a comma splice! Yuck. I'll clean it up a bit. - Zowch 09:02, 28 May 2006 (UTC)

[edit] Contradiction??

"Vasovagal syncope (also vasodepressor syncope ...[truncated]... It is important to realize that vasovagal syncope and vasodepressor syncope are NOT the same." (Quoted from the version on 8/10/2006.)

This is a contradiction. Either vasovagal syncope is also known as vasodepressor syncope or they are not the same. Someone with medical expertise, please clairfy. Jxyama 17:37, 10 August 2006 (UTC)

Yeah, that looks like a mess. I am not a doctor; I have the condition. None of my doctors have used the term vasodepressor syncope on me, though. Nevertheless, a quick look at the web in Google shows a few places where the terms appear to be used interchangably: This one includes two more names for the condition? This one lists a cause I've never heard of?

LIS, I'm not a doctor, and frankly I know this diagnosis is somewhat controversial. It was only "discovered" five to ten years back and I think they are still working out what is and isn't part of this diagnosis. Anyway, I'm going to add the expert tag and do nothing else for now. Jacqui★ 13:44, 19 August 2006 (UTC)

Just a touch of input. I have Vasodepressor Syncope, as was directly diagnosed, and a few things seem to be quite different between that and the vasovagal condition described above. In my case (I was told it is a typical case)The heartrate skyrockets(upwards of 200 bpm at rest) and bloodpressure drops(somewhere into the low 20's). This results in a pooling of blood in the feet, and a lack of blood in the brain. As far as I understand, VDS is actually heart-initiated, where VVS is initiated by a lack of blood in the core of the body. Same results, different reasons. Understand that this is simply an explanation from one doctor to a patient, and conformation would be reccomended. -Jason


Note: the IP address that added the disputed section has many vandalization messages on its talk page. Nevertheless, IPs can be shared by many people and so we should still look into this carefully. Jacqui★ 13:49, 19 August 2006 (UTC)

Vasovagal syncope, vasodepressor syncope, neurocardiogenic syncope, and situational syncope all refer to the same form of syncope.(http://www.medterms.com/script/main/art.asp?articlekey=7713) I believe neurally-mediate syncope is also synonymous.


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