Syncope medical therapy
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Diagnosis |
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Treatment |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Medical therapy is the mainstay of the treatment.
Medical Therapy
Medical therapy is the mainstay of the treatment.[1]
Urgent Treatment
Recommended treatment is to allow the person to lie on the ground with his or her legs slightly elevated. As the dizziness and the momentary blindness passes, the person may experience visual disturbances in the form of small bright dots (phosphene). These will also pass within a few minutes. After initial stabilization, the treatment of syncope depends on the causes.
Cardiac Syncope
- Arrhythmia: For patient whose syncope is caused by bradycardia or heart block, a pacemaker may be considered to solve the problems. An implantable cardioverter defibrillator (ICD) may help the patient with repeated ventricular tachycardia. Sometimes, antiarrhythmic drugs may be helpful for some patients. These treatments should be ordered by the cardiologists.
Neurologic Syncope
Vasovagal Syncope
- Educating patients not to wear tight collars, not to cough with difficulty, and to try to urinate while sitting down instead of standing up.
Orthostatic Hypotension
- The patient should be careful when changing positions from sitting to standing.[3]
References
- ↑ Brignole M (January 2007). "Diagnosis and treatment of syncope". Heart. 93 (1): 130–6. doi:10.1136/hrt.2005.080713. PMC 1861366. PMID 17170354.
- ↑ Brignole, Michele; Sutton, Richard; Menozzi, Carlo; Garcia-Civera, Roberto; Moya, Angel; Wieling, Wouter; Andresen, Dietrich; Benditt, David G.; Vardas, Panos (2006). "Early application of an implantable loop recorder allows effective specific therapy in patients with recurrent suspected neurally mediated syncope". European Heart Journal. 27 (9): 1085–1092. doi:10.1093/eurheartj/ehi842. ISSN 1522-9645.
- ↑ Krediet, C.T. Paul; van Dijk, Nynke; Linzer, Mark; van Lieshout, Johannes J.; Wieling, Wouter (2002). "Management of Vasovagal Syncope". Circulation. 106 (13): 1684–1689. doi:10.1161/01.CIR.0000030939.12646.8F. ISSN 0009-7322.