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Vagal tone is activity of the vagus nerve (the 10th cranial nerve) and a fundamental component of the parasympathetic branch of the autonomic nervous system. This branch of the nervous system is not under conscious control and is largely responsible for the regulation of several body compartments at rest.
Excessive activation of the vagal nerve during emotional stress, which is a parasympathetic overcompensation for a strong sympathetic nervous system response associated with stress, can also cause vasovagal syncope due to a sudden drop in cardiac output, causing cerebral hypoperfusion. Vasovagal syncope affects young children and women more ...
The high (ineffective) sympathetic activity is thereby modulated by vagal (parasympathetic) outflow leading to excessive slowing of heart rate. The abnormality lies in this excessive vagal response causing loss of blood flow to the brain. [9] The tilt-table test typically evokes the attack.
Low blood pressure occurs due to decreased systemic vascular resistance resulting from loss of sympathetic tone, which in turn causes blood pooling within the extremities rather than being available to circulate throughout the body. The slowed heart rate results from a vagal response unopposed by a sympathetic nervous system (SNS) response. [2]
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The Sympathetic nervous system and Parasympathetic nervous system can offset each other. One of the most classical example is called Vagal Escape.Vagal escape is characterized by a reduction in blood pressure due to muscarinic stimulation which is then compensated for stimulation from the sympathetic system to increase heart rate and thus blood pressure.
In fact, most people are completely unaware of the dangers associated with high blood pressure, the so-called “silent killer.” Your blood pressure may, at times, go up for a variety of reasons.
The underlying mechanism involves the nervous system slowing the heart rate and dilating blood vessels, resulting in low blood pressure and thus not enough blood flow to the brain. [2] Diagnosis is based on the symptoms after ruling out other possible causes. [3] Recovery from a reflex syncope episode happens without specific treatment. [2]