SYNCOPE: Causes, Signs and Treatment
WHAT IS SYNCOPE?
Syncope Definition: The syncope is defined in medicine as transient, self-sustaining loss of consciousness as a result of a short-term deficiency of the brain with blood. In the people’s mouth, one also speaks of impotence, circulatory collapse, collapse or sudden unconsciousness. Syncopes often lead to falls. The occurrence of impotence precautions (eg, nausea, sweat, heat, soft knees, flabby feeling in the abdomen) is possible. A syncope is usually only of short duration.
- About 40% of all people suffer at least once a syncope in their lives.
- Up to 50% of patients change their living habits for fear of renewed falls.
- In up to 20% collapses are associated with injuries (traffic accidents).
- Up to 20% of patients died of sudden cardiac death during one year after a cardiac syncope.
WHAT CAUSES SYNCOPE?
Syncope Causes: It is understood that a full obstruction of the blood movement to the brain leads to a loss of consciousness within some moments. As the blood circulation depends on the level of the blood pressure and thus on the pumping power of the heart as well as on the resistance of the blood vessels, any sudden reduction in the treatment (eg due to rhythm disturbances ) and drop in the vessel resistance (eg by nerve reflexes) can lead to a fainting.
Syncopes can be attributed to one of three main causes and it is also classified on the basis if it causes.
- Reflex-mediated syncope: In a reflex-mediated syncope, a nerve reflex causes a sudden drop in blood pressure and a slowing of the heartbeat. The blood sags from the head into the legs. Cause of the nerve reflex is often optical stimuli, pain, unpleasant smells or other psychoemotional stimuli.
- Orthostatic syncope: It can come if one emerges from lying very quickly, Then the blood also falls from the head into the legs. As a result, there is not enough blood available to the brain. The patient will be “black-in-the-eye”. If you do not sit very quickly again or better still lie down, you fall unconsciously. The latter is the case, for example, when a great loss of fluid has occurred after a disease caused by diarrhoea or fever.
- Cardiac syncope: Cardiac syncope is an impotence which occurs mainly due to sudden cardiac arrhythmias. It is easy to understand that the blood circulation collapses when the heart either stops or rests so fast that it can not expand and contract. The result: The blood stops flowing.
WHAT ARE THE SYMPTOMS OF SYNCOPE?
Before the patient blackout due to the attack of syncope, you may encounter a portion of the following situations:
- Fair skin
- Exclusive focus — your field of vision limits so you see just what’s before you
- Feeling warm
- A chilly, damp sweat
- Obscured vision
upon the seriousness of the condition, the patient might also get to face the following:
- Shaking, unusual developments
- A moderate, feeble heartbeat
- Expanded pupils
WHAT ARE THE TREATMENTS OF SYNCOPE?
Syncope Treatment: The treatment of syncope entirely depends on the cause of the problem:
- Reflex-Mediated Syncope Treatment: The focus of the therapy of the reflex-mediated syncope is on avoidance strategies. This means that if you know as a patient that you “fall quickly” during a blood sampling, you can take the blood while lying down. Young people, who are fainting with excitement, are advised to take anything more relaxed or to avoid such a situation. As many patients are conscious of the unconsciousness a few seconds before (emptiness in the head, soft knees, “comely” feeling in the belly), they should sit down immediately or better still lie down if they feel something.
- Orthostatic Syncope Treatment: Prevention strategies are also used to prevent orthostatic syncope. Before you suddenly get up, you can sit for a while at the edge of the bed and increase the blood pressure by inhaling and exhaling as well as by slowing the legs. If for example, blood pressure tablets are blamed for impotence, it should be discussed with the doctor whether they cannot be discontinued or at least reduced.
- Cardiac Syncope Treatment: If unconsciousness comes through a sudden heart attack, a pacemaker is the therapy of choice. If on the other hand, cardiac cysts lead to circulatory collapse, a defibrillator (abbreviated as “Defi”) is used for the patient. This device is slightly larger than a heart pacemaker and is used with the same surgical technique. When a sudden cardiac arrest occurs, the defibrillator automatically delivers a powerful surge (shock) and thus stops heart racing.