How to treat reflex syncope?

summary

Reflex syncope is caused by blood pressure regulation, heart rate reflex arc dysfunction and autonomic nervous insufficiency, which leads to sudden decrease of blood pressure and cardiac output, resulting in transient cerebral insufficiency and transient loss of consciousness. How to treat reflex syncope?

How to treat reflex syncope?

Vagal syncope is the most common cause of young people's sudden fainting. It is more common in young women who are weak. It often occurs suddenly under the inducement of pain, fear, emotional tension, bleeding and so on. It may have prodromal symptoms. Most of them are in standing position. Some cases may have panic, irritability and other symptoms, with blood pressure rising, heart rate accelerating, and then heart rate slowing down, blood pressure falling, pale, cold sweat, loss of consciousness for a few seconds to a few minutes. However, the above symptoms can disappear quickly after lying on the back. Vertical tilt test can be carried out.

Carotid sinus syncope is rare. Sudden syncope occurs when the neck is rotated or compressed. It can be divided into two types according to the different reactions when massaging the carotid sinus: type I, reflex cardiac arrest, leading to fainting; Type II, causing severe vascular inhibitory reaction, slow heart rate, decreased blood pressure, resulting in fainting, but no cardiac arrest. Type II is a rare symptom caused by compression and stimulation of glossopharyngeal nerve fibers by cervical tumor.

Micturition syncope occurs during or after micturition; More common in adult men with nocturia, wake up in the middle of the night when urinating suddenly fall, 1-2 minutes to wake up. At the same time, transient cerebral ischemia is caused by bladder emptying, rapid decrease of abdominal pressure and decrease of blood flow back to heart. Reflex syncope can also occur after swallowing, glossopharyngeal neuralgia and severe dry cough.

matters needing attention

Symptomatic treatment, such as vasovagal reflex syncope, should avoid mental tension, physical fatigue, standing too long, hot bath time is too long and rise too fast and other inducing factors. For voiding syncope, do not * too much urine, too much urination or squatting. In case of carotid sinus reflex hypersensitive syncope, the collar should not be too tight, neck rotation should be slow, etc.