Vasovagal Hypotension: The Daily PANCE Blueprint

Vasovagal Hypotension: The Daily PANCE Blueprint

Which of the following is the most common cause of syncope?

A. Arrhythmia-related syncope
B. Intoxication
C. Vasovagal syncope
D. Orthostatic hypotension
E. Carotid sinus hypersensitivity

Answer and topic summary

The answer is C. Vasovagal syncope

Vasovagal syncope (also known as the “common faint” or reflex syncope) is a syncopal event that occurs due to a stressful trigger. It is self-limiting. It occurs due to a neural reflex (enhanced vagal activity + withdrawal sympathetic) that results in systemic hypotension, possible bradycardia, and/or peripheral vasodilation. It is the most common type of syncope and triggers include heat, the sight of blood, extended periods of standing, stress, and strain. Patients may have paleness, nausea, sweating, tachycardia, and vision clouding before the syncopal event occurs.

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