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What Causes Sudden Syncope?

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Posted on Mon, 9 Nov 2015
Question: i went to the fair yesterday ,and i think i got to hot,i passed out,and my friends that was with me say i pass out out but my eyes was was wide open,and i vomit ,coming out my nose and mouth,they say i was out for a good while like 15 mins or so,i was taken to the meds tent and givien fliuls by iv,and felt better,but was so tried after ,whats going on with me ,i did begin taking a new med ,also
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Answered by Dr. Olsi Taka (46 minutes later)
Brief Answer:
Looks like a syncope

Detailed Answer:
I read your question carefully and I understand your concern.

Judging by the circumstances of the episode, in the setting of prolonged standing I presume and hot environment I believe it to be a syncope, more specifically a vasovagal syncope. A syncope happens when there is low blood pressure with insufficient blood supply to the brain and hence alteration of consciousness at times, when prolonged may present seizures and can be accompanied by digestive symptoms like vomiting and afterwards dizziness and confusion. Vasovagal means due to the mechanisms which regulated heart rate and blood pressure in different circumstances not working properly temporally.
It is often related to a trigger such as strong emotions or the heat and standing as in your case. Usually it is a benign phenomenon and you should gradually be back to normal.
Tests which might have been done would have been a blood panel for blood glucose, electrolyte changes and an EKG, however since in your case there is a trigger and it’s been some time I do not think it’s of much use now. If it repeats at least EKG is recommended to look for abnormalities of heart rhythm. Also the new medication should be evaluated, you do not mention its name, if it’s something which affects heart rate and blood pressure might have been a factor.

I remain at your disposal for further questions.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3673 Questions

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What Causes Sudden Syncope?

Brief Answer: Looks like a syncope Detailed Answer: I read your question carefully and I understand your concern. Judging by the circumstances of the episode, in the setting of prolonged standing I presume and hot environment I believe it to be a syncope, more specifically a vasovagal syncope. A syncope happens when there is low blood pressure with insufficient blood supply to the brain and hence alteration of consciousness at times, when prolonged may present seizures and can be accompanied by digestive symptoms like vomiting and afterwards dizziness and confusion. Vasovagal means due to the mechanisms which regulated heart rate and blood pressure in different circumstances not working properly temporally. It is often related to a trigger such as strong emotions or the heat and standing as in your case. Usually it is a benign phenomenon and you should gradually be back to normal. Tests which might have been done would have been a blood panel for blood glucose, electrolyte changes and an EKG, however since in your case there is a trigger and it’s been some time I do not think it’s of much use now. If it repeats at least EKG is recommended to look for abnormalities of heart rhythm. Also the new medication should be evaluated, you do not mention its name, if it’s something which affects heart rate and blood pressure might have been a factor. I remain at your disposal for further questions.