II. Category
III. Symptoms
IV. Signs
- Prevent Bradyarrhythmia with Atropine
-
Carotid Sinus Massage
- Systolic Blood Pressure falls 50 mmHg
- Differentiates from Cardioinhibitory Syncope
V. Differential Diagnosis
- See Syncope Causes
- Cardioinhibitory Syncope
VI. Management
- Discontinue Beta Blockers
- Discontinue other Antihypertensive medications
- Consider support stockings
- Consider Fludrocortisone (water and salt retention)
- Consider alpha Agonists such as Midodrine (Vasoconstrictor)
- Avoid Pacemaker (not effective)