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The San Francisco syncope rule was developed to isolate people who have higher risk for a serious cause of syncope. High risk is anyone who has: congestive heart failure, hematocrit <30%, electrocardiograph abnormality, shortness of breath, or systolic blood pressure <90 mmHg. [ 44 ]
Reflex syncope can occur in otherwise healthy individuals, and has many possible causes, often trivial ones such as prolonged standing with the legs locked. [ citation needed ] The main danger of vasovagal syncope (or dizzy spells from vertigo) is the risk of injury by falling while unconscious.
Presyncope describes lightheadedness or feeling faint; the name relates to syncope, which is actually fainting. Disequilibrium is the sensation of being off balance and is most often characterized by frequent falls in a specific direction. This condition is not often associated with nausea or vomiting.
Lightheadedness is very similar to pre-syncope. Pre-syncope is the immediate stage before syncope (fainting), particularly in cases of temporary visual field loss (i.e. vision getting "dark" or "closing in").
Presyncope is a feeling of lightheadedness or simply feeling faint. Syncope, by contrast, is actually fainting. A circulatory system deficiency, such as low blood pressure, can contribute to a feeling of dizziness when one suddenly stands up. [6]
IST symptoms include palpitations, chest discomfort, exhaustion, shortness of breath, presyncope, and syncope. [ 1 ] While sinus tachycardia is very common and is the most common type of tachycardia, it is rare to be diagnosed with inappropriate sinus tachycardia as an independent symptom that is not part of a larger condition.
Syncope rapidly ensues. Indeed, the short latency between the stimulus and the attack has been emphasized as an important distinction from the more familiar (at least in older children and adults) vasovagal syncope. The child loses awareness and postural tone, falling to the ground. There may be down-beat nystagmus.
Tilt table testing could provoke fainting or syncope. It is the purpose of the test to provoke these symptoms, in order to aid in diagnosis. [ 4 ] It may not be appropriate, or indeed even possible, to stop the test before fainting occurs, as the drop in blood pressure or pulse rate associated with fainting can come on in seconds.