Emergency care

Symptomatic syncope may be due to somatic diseases. Syncope may develop chronic lung disease, leading to hypoxia. Loss of consciousness possible during coughing spells, which is associated with increased pressure in the chest and difficulty of venous outflow from the cranial cavity in a protracted coughing fit (bettolepsiya). To clarify the genesis of syncope should always monitor your pulse rate, to analyze the ECG to exclude heart disease.

Severe syncopal episodes, accompanied by convulsions, should be distinguished brand name viagra from epilepsy, and the relevant character poslepristupnogo status and ECG data. After fainting rarely observed drowsiness, do not develop amnesia, in contrast to epilepsy. EEG characteristics of epileptic paroxysms, and syncope, usually different. The rare variants of paroxysmal states are the so-called drop attacks, ie, unexpected fall sick. Usually attack incidence observed in patients with vertebrobasilar insufficiency, and sometimes in a completely healthy young pregnant women.

In contrast to the faint at these falls there is no loss of consciousness. State close to fainting, is observed for hypoglycemia. Characterized by the predominance of parasympathetic symptoms, sweating, pale skin, decreased blood pressure. On the state of hypoglycemia should be considered in the event that attack was preceded by a big break in food intake, such as in the morning, or if the attack was developed after intensive physical work or after emotional stress.

Fainting symptomatic: the diagnosis is confirmed hypoglycemic state when it detects reduction in blood sugar. In everyday practice, the most important difference between syncope and epileptic paroxysm of hysterical fit.
Emergency care and hospitalization

Seizures bettolepsii and drop-attacks do not require any therapeutic interventions. Indications for admission are determined by underlying disease. Fainting in disorders of cardiac rhythm.

The sharp acceleration or slowing of the heart causes a decrease in cardiac output, worsening perfusion of all organs, including the brain, which leads to the development of syncope. Some arrhythmias, including paroxysmal atrial flutter and atrial fibrillation, a transverse blockade with rare idioventrikulyarnym rhythm, lead to loss of consciousness. Other arrhythmias, both Viagra a questionnaire International Quality Erection supraventricular and ventricular tachycardia, a permanent form of atrial fibrillation, sinoatrial block, rarely cause fainting. However, against the backdrop of a significant reduction in myocardial contractility on the "benign" arrhythmias may cause fainting. With more prolonged and severe cerebral hypoxia, loss of consciousness may be accompanied by convulsions (attack Adams-Stokes-Morgagni).

In virtually all cases of fainting should clarify the nature of cardiac arrhythmias using the ECG. When it is impossible to register the ECG during loss of consciousness should be daily ECG monitoring, and in some cases shows ECG monitoring using stress tests and electrophysiological studies.
Fainting symptomatic: emergency care

Intermittent fainting, usually does not require special treatment. If the character of arrhythmia during prolonged loss of consciousness is unknown, carry out resuscitation, as in cardiac arrest, including chest compressions, ventilation.
Fainting symptomatic: Hospitalization

Patients with a bout of Adams-Stokes-Morgagni subject to examination in the cardiology department. The question of admission of patients with arrhythmias, not life threatening, solved individually.

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