Pregnancy could cause a woman to faint
The most important and first step in the diagnosis of syncope by the doctor is this Questioning the patient. The doctor asks about the exact circumstances of the fainting. What is important, for example, is the situation in which the sudden faint occurred - for example, whether someone had just got up, was in a stressful situation or was lying quietly in bed.
There is a suspicion that the syncope is not due to stress or a certain stimulus was triggered, but rather by a malfunction of the heart, then are further investigations inevitable. This includes
- Ultrasound of the heart
- Electrocardiogram (EKG)
- Long-term ECG (for several days)
- Use of an event recorder
If you suspect a vasovagal syncope, in which the fainting is triggered by long standing, fear or pain, the doctor can use a syncope diagnosis Tilt table examination carry out. The patient lies horizontally strapped on a couch. The bed is then tilted so that the patient is straightened up a good bit. The doctor can also administer antihypertensive drugs via an intravenous line. At the same time, the patient's blood pressure and pulse are measured. If both values drop to a certain extent when standing up or if the patient feels that he is losing consciousness, the test is positive. If, on the other hand, this does not happen for more than 45 minutes, this speaks for a negative result.
Is with an affected person for the first time If syncope has occurred and there is no evidence of cardiac involvement, this usually does not need to be further investigated. The doctor and patient then wait to see whether the sudden fainting occurs again.
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