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Fainting may point to more serious, underlying cardiovascular condition

Published on August 10, 2009 at 8:44 PM · No Comments

For those who suffer from fainting spells, the mysterious episodes can be quite scary. Far too often, fainting is chalked up to stress or other mental health issues. However, medical experts at Rush University Medical Center say that reoccurring fainting spells, also known as syncope, could be an important symptom that can point to a more serious, underlying cardiovascular condition.

“People who suffer from mysterious fainting episodes often live in fear because of these frequent bouts of unconsciousness that can happen at any moment,” said Dr. Kousik Krishnan, a cardiologist and director of the Arrhythmia Device Clinic and associate director of the Electrophysiology Lab at Rush.

Patients who suffer from unexplained syncope have to modify their daily activities significantly and the condition can greatly impact their daily lives. In many cases, they are unable to drive a car, must quit working and cannot be left alone. Also, because of their frequent fainting spells, patients end up in the emergency room or admitted to the hospital multiple times. They are told that they are under stress, anxiety or heat exhaustion and often treated with anxiety medication.

“Some types of syncope can be triggered by emotional stress, but other types of syncope can be caused by cardiac conditions, metabolic disorders and neurological issues,” said Krishnan. “We established the Syncope Clinic as a resource to people with fainting problems to help evaluate and pinpoint the cause for these patients.”

According to Krishnan, syncope caused by a cardiovascular condition can be especially challenging to diagnose because abnormal heart rhythm activity may be infrequent or not apparent to the patient. Conditions causing cardiovascular syncope include heart attack, heart failure, heart rhythm disturbances, obstructed blood flow, valvular abnormalities and low blood pressure.

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