Saturday, June 14, 2014


Dictionary Meaning -
(according to Dorland's pocket medical Dictionary)

A Faint, Temporary Loss Of Consciousness Due To Generalised Cerebral Ischemia.

Cardiac Syncope -  Sudden Loss Of Consciousness, With Momentary Premonitory Symptoms Or Without Warning, Due To Cerebral Anaemia Caused By Obstructions To Cardiac Output Or Arrhythmias Such As Ventricular Asystole, Extreme Bradycardia, Or Ventricular Fibrillation.

Carotid Sinus Syncope - See Under Syndrome >> Carotid Sinus Syndrome - Syncope Sometime Associated With Convulsions Due To Over-Activity Of The Carotid Sinus Reflex When Pressure Is Applied To One Or Both Carotid Sinuses.

Convulsive Syncope - Syncope With Convulsive Movements That Are Milder Than Those Seen In Epilepsy.

Laryngeal Syncope - Tussive Syncope.

Stretching Syncope - Syncope Associated With Stretching The Arms Upward With The Spine Extended.

Swallow Syncope - Syncope Associated With Swallowing, A Disorder Of Atrioventricular Conduction Mediated By The Vagus Nerve.

Tussive Syncope - Brief Loss Of Consciousness Associated With Paroxysms Of Coughing.

Vasovegal Syncope - A Transient Vascular And Neuralgic Reaction Marked By Pallor, Nausea, Sweating, Bradycardia, And Rapid Fall In Arterial Blood Pressure, Which May Result In Syncope.

Pathological Point Of View -

Syncope, The Medical Term For Fainting Or Passing Out, Is Defined As A Transient Loss Of Consciousness And Postural Tone, Characterized By Rapid Onset, Short Duration, And Spontaneous Recovery, Due To Global Cerebral Hypo-Perfusion (Low Blood Flow To The Brain) That Most Often Results From Hypotension (Low Blood Pressure). 
  • This Definition Of Syncope Differs From Others By Including The Cause Of Unconsciousness, i.e. Transient Global Cerebral Hypo-Perfusion.
  • Without That Addition, The Definition Of Syncope Would Include Disorders Such As Epileptic Seizures, Concussion Or Cerebrovascular Accident.
  • Syncope Is Distinguished From Coma, Which Can Include Persistent States Of Unconsciousness. This Confusion Still Occurs In Some Literature.

 Types -

  • Vasovagal Syncope
  • Situational Syncope
  • Postural Syncope
  • Cardiac Syncope
  • Neurologic Syncope  
  • Stretch Syncope 

For More Details :-

Causes -

Signs & Symptoms -
Many Forms Of Syncope Are Preceded By A Prodromal State That Often Includes
  • Dizziness And Loss Of Vision ("Blackout") (Temporary), 
  • Loss Of Hearing (Temporary), 
  • Loss Of Pain And Feeling (Temporary), 
  • Nausea And Abdominal Discomfort, 
  • Weakness, 
  • Sweating, 
  • A Feeling Of Heat, 
  • Palpitations And Other Phenomena, Which, If They Do Not Progress To Loss Of Consciousness And Postural Tone Are Often Denoted "Pre-Syncope".

Common Instruction For A Patient Of Syncope -

  • Elevate Your Legs To Stop Fainting.
  • Stay Hydrated to Prevent Fainting Or Blackouts.
  • Control Stress to Prevent Blackouts.
  • Stand Up Slowly To Prevent Black Outs.
  • Raise Blood Sugar to Treat Fainting Fits.

For More Details :-

Home Remedies For Syncope -

1. Apple Cider Vinegar :-

Most Probable Mode Of Action- Not Known!

2. Electrolyte Drinks :-

                Most Probable Mode Of Action- Not Known!

3. Onion :-

Most Probable Mode Of Action- Not Known!

4. Ginger :-

                    Most Probable Mode Of Action- Not Known!

For More Details :-

Allopathic Treatment For Syncope -

During An Attack :-

  • Make The Patient Recumbent, And Flat On The Ground.
  • Loosen Clothes Around The Neck, And Raise The Legs.
  • Feel The Pulse To Note The Rate, Rhythm And Volume.
  • Stimulate By Splashing Water Or With Strong Smell (Onion).
  • Normally, The Person Wakes Up In A Few Minutes.
  • Do Not Allow Him To Stand Suddenly.
  • Ask About - Chest Pain, Limb Paresis, Slurring Of Speech, And H/o Diabetes, Hypertension And Angina.

If The Patient Does Not Wake Up And Become Normal In 5 To 10 Minutes, Think Of Other Causes And Shift To A Hospital.
  • If Known Diabetic, Give I.V. 4 amps. 25% Glucose.
  • If Chest Pain / Sweating / Low Volume Pulse,
              - IV 5% Dextrose
    - Inj. Efcorlin 1 Vial IV. S.O.S. 
    - Refer To Hospital Or Cardiologist For ECG.

  • If He Has Black Loose Stools & Pallor - ? GI Bleeding. Refer Immediately. 
  • If Slurring Of Speech Or Weakness Of One Side - ? Stroke.

Subsequent Treatment Of Simple Syncope :-

  • Liver Extract. 
  • Calcium.

If  No Response, Ask For Investigations ;-
  • Hb 
  • ECG 
  • X-ray Cervical Spine 
  • X-ray Chest

In Specific Circumstances,

  • Think For Cough Syncope, Micturation Syncope, & Hypersensitive Carotid Sinus.

Some Points To Be Kept In Our Mind While Handling The Case Of Syncope :- 

  • If Taking Treatment For Hypertension - Reduce The Dose, Or If Necessary Change The Drug. Do Not Give Steroids. 
  • After Giving Injections That Cause Sedation, Like Squil, Avil, Or Calmpose; Do Not Allow A Patient To Walk Home Alone - He May Faint & Fall In The Way.

 Homoeopathic Treatment For Syncope -

" One Single Simple Drug Substance In Its Most Suitable Potency, According To Symptom Similarity Based On Totality! "

In Case Of Syncope, List Of Useful Remedies (According To REPERTORY
by Oscar E. BOERICKE, M.D.) Are As Below-

SYNCOPE, fainting -- Acetan., Acet. ac., Acon., Alet., Amyl, Apis, Ars., Cact., Canth., Carbo v., Cham., Cim., Cinch., Collins., Croc., Cupr., Dig., Ferr., Glon., Ign., Ipec., Lach., Lil. t., Linar., Mag. m., Magnol., Mosch.Nux m., Nux v., Op., Phaseol., Phos. ac., Phos., Puls., Sep., Spig., Spong., Sul.Sumb., Tab., Thyr., Trill.Ver. a., Zinc.

Odors, in morning, after eating [From] -- Nux v.
Lipothymia, hysterical -- Acon., Apium v., Asaf., Cham., Cocc., Cupr., Ign., Lach., Mosch., Nux m.

For Detail Study Of Above Mentioned Individual Remedy From HOMŒOPATHIC MATERIA MEDICA

by William BOERICKE, M.D.:-

Special Thanks To Dipti Varma, Damini Rathwa, Hiral Markar & Dhwani Gamit.

No comments:

Post a Comment