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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Episodes Of Syncope. Had Dizziness, Tunnel Vision, Lost Consciousness. What Is Wrong?

Hello I am seeking some advice on syncope . I have been having episodes of syncope on a regular basis (2-3 times per week). I can feel the syncope episodes coming on for about 1 minute before I lose consciousness - very dizzy, tunnel vision , palor etc. When I awake, I feel fine, and can remember everything that happened, up to losing consciousness.I have had a number of tests on my heart (ECG, EKG ), and blood tests, but everything has come back clear. I have been booked in for a CT scan , but I am concerned about this issue - can you offer any insight?
Wed, 3 Jul 2013
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Cardiologist 's  Response
Dear Ma'm/Sir
Thanks for your query to us.
there are two issues in your case 1. if you really have syncope or you have a very close possibility of seizures. Seizures are favored if you have history of tongue bite, incontinence, injury to head & presence of aura.
2. If you have syncope it is important to know if it is cardiac or non-cardiac. If ECG and ECHO are non-contributory, A holter monitoring at time of seizure will definitely help in excluding cardiac cause. Two other important causes of syncope are neurocardiogenic syncope & pure neurological syncope.
Hope this helps
Sincerely
Sukhvinder
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Episodes Of Syncope. Had Dizziness, Tunnel Vision, Lost Consciousness. What Is Wrong?

Dear Ma m/Sir Thanks for your query to us. there are two issues in your case 1. if you really have syncope or you have a very close possibility of seizures. Seizures are favored if you have history of tongue bite, incontinence, injury to head & presence of aura. 2. If you have syncope it is important to know if it is cardiac or non-cardiac. If ECG and ECHO are non-contributory, A holter monitoring at time of seizure will definitely help in excluding cardiac cause. Two other important causes of syncope are neurocardiogenic syncope & pure neurological syncope. Hope this helps Sincerely Sukhvinder