Can certain foods impact vasovagal syncope symptoms? The physical exam of people with vasovagal syncope is usually completely normal. Sleep syncope is described as one possible subtype of vasovagal syncope interrupting sleep, causing abdominal symptoms, feeling faint, and loss of consciousness in bed or upon standing up [9,10,11,12]. There is a case study of this phenomenon, including video recording, intermittent heart rate and blood pressure recordings, and one ECG recording [12]. This will be difficult in view of the sporadic nature of the attacks in most patients. Surface electrocardiograms revealed no ischaemic changes and cardiac enzymes were not elevated at any time. However, it should be realised that transient myoclonic jerking is more often a feature of cerebral hypoperfusion than of epilepsy.2 Other more reliable features of epilepsy, including tongue biting, automatisms, postictal confusion, and hypersomnolence, were absent.5 On the basis of an algorithm derived from a recent study on historical criteria that distinguish syncope from seizures, all of our patients fulfilled the diagnostic criteria for vasovagal syncope with very high levels of certainty (> 90%).6 Furthermore, we obtained a normal EEG during a typical nocturnal episode in one patient and normal interictal EEGs in 46% of the group. It is most important to differentiate nocturnal syncope from atypical forms of epilepsy. No interruption in breathing (which can happen with life-threatening conditions). At baseline, age and gender distribution (mean standard deviation) of the classical VVS and sleep synocope groups were similar: 46 21 vs. 47 15 years (p = 0.53), and 55% versus 66% female (p = 0.28), respectively. (A) Time 5.49 am, normal sleep EEG, heart rate 90 beats/min. more salt. The two atypical features for vasovagal syncope in this instance were that of the supine nature of events and the chest pain. They almost always occur while standing or sitting up. Ask if your condition can be treated in other ways. This is because more blood goes to your legs when you are standing and your blood pressure drops. Google Scholar, Wieling W, Kaufmann H (2021) What is the best method to diagnose a vasovagal syncope? Namely, in addition to procedural complications in the medical setting and the risk of fall and injury caused by loss of consciousness, some patients with vasovagal syncope may also suffer from comorbidities, such as cardiac arrhythmias, structural cardiopulmonary disease, cerebrovascular disease, andneurological conditions,such asseizure,stroke,and migraine. The histories were more consistent with vasovagal syncope than with epilepsy. Patient 1 had her first nocturnal syncopal episode at the age of 40 years. On the other hand, trying to "fight off" an episode of vasovagal syncope by forcing yourself to remain standing or sitting up and "willing yourself" not to faint almost never works. 1 0 obj Your healthcare provider can teach you techniques that keep your blood pressure high enough so that you dont pass out. This controls your fight-or-flight response. Sleep syncope is a subtype of vasovagal syncope with characteristic symptoms. A case of nocturnal fainting: supine vasovagal syncope Over the next two minutes blood pressure fell before heart rate, with syncope supervening with a minimum heart rate of 26 beats per minute and an unrecordable blood pressure. 3 0 obj Pacemakers (a device that regulates the heartbeat) were once thought to be helpful in people with vasovagal syncope. Reflex syncope, anxiety level, and family history of cardiovascular disease in young women: case-control study. Advertisement intended for healthcare professionals, Queen Victoria Road, Newcastle Upon Tyne NE1 4LP. The study initially ruled out many conditions and it will be very interesting for future studies to gather similar types of data at follow-up. The heart slows down and pumps less blood, so blood pressure drops. Bethesda, MD 20894, Web Policies 1Department of Internal Medicine, Academic Medical Centre/University of Amsterdam, Amsterdam, the Netherlands, 2Department of General Medicine, Christchurch Hospital, Christchurch, New Zealand, 3Neurological Section, University of Modena and Reggio Emilia, Modena, Italy, 4Department of Cardiology, Beatrix Ziekenhuis, Gorinchem, the Netherlands. If someone tries to hold you up during a vasovagal episode, being in the standing position can prolong the time you are unconscious. Usually, the doctor can safely assume 24 Vasovagal syncope (VVS) is the most common cause of WebVasovagal syncope (pronounced vay-so-vay-gal sin-co-pee) happens when your blood pressure and heart rate drop suddenly, causing you to pass out or faint. Most people with occasional vasovagal Watch for the warning signs of Vasovagal syncope (pronounced vay-so-vay-gal sin-co-pee) happens when your blood pressure and heart rate drop suddenly, causing you to pass out or faint. Sometimes the doctor needs to check Her husband observed transient myoclonic jerking. At the visit, write down the name of a new diagnosis, and any new medicines, treatments, brain. Sleep Med 11:929933 On three of these occasions his symptoms proceeded to syncope. Its focused on nonemergency processes, including eating, digesting and other bodily functions. They can be differentiated from The person should lie down for a little while afterwards. Dilation of the blood vessels causes a significant amount of the blood in the body to pool in the legs. A tilt table study can help distinguish vasovagal syncope from orthostatic hypotension. Neurocardiogenic syncope is also referred to as neurally mediated syncope. It is important to remember that neurally mediated syncope can present atypically, as demonstrated by our case. 2023 Cedars-Sinai. that leads to fainting in some people. WebIt is hypothesized that REM sleep might be a critical state in which VVS patients would show abnormal responses, and HRV and its sympathetic and parasympathetic components during rapid eye movement (REM) and nonREM sleep are examined. A tilt-table test and follow-up assessments may also be recommended [13]. During the physical exam, your doctor will listen to your heart and kyp :L')hEZ7mIF$|JBu)3='cjotXou>!QIlhm`{ooA3+LYg+FBu 9 ~| =iF W)#x!06m }kskI\`I|A`u Bookshelf Long term follow-up has not been reported. This paroxysmal activity may be more often seen during sleep.1,5,7 However, in patients with vasovagal syncope, the interictal EEG is normal.5 Even during syncopal reactions induced in the laboratory, only large amplitude slow waves are seen and there is no paroxysmal activity.9 As blood pressure falls and consciousness is lost, diffuse flattening of the waveforms occurs. PillenS@kempenhaeghe.nl. Vasovagal syncope is a condition further analyze heart rhythms, Echocardiogram, to examine blood flow WebIt's usually caused by a combination of being dehydrated and standing or sitting up too quickly. -, Busweiler L, Jardine DL, Frampton CM, Wieling W (2010) Sleep syncope:important associations with phobia and vagotonia. to Prevent Fainting Consistent with previous research, [11] blood-injection-injury phobia was more frequent in the sleep syncope patients when compared to classic vasovagal syncope. Dysautonomia makes a person very prone to the vasovagal reflex that causes syncope. This site needs JavaScript to work properly. %PDF-1.7 Accessed Dec. 11, 2020. Syncope. A 501(c)(3) nonprofit organization. WebBased on our observations, we think that patients who have nocturnal loss of consciousness and classical vasovagal prodromal symptoms should be considered to Krediet etal.6 report a series of 13 patients, with a mean age 45 years, with recurrent vasovagal syncope interrupting sleep. syncope need to make only lifestyle changes such as drinking more fluids and eating Syncope. Questions your doctor might ask you include: Mayo Clinic does not endorse companies or products. This method uses a tilt table to gradually Choose a doctor and schedule an appointment. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. sweaty, lie down right away and raise your legs. Europace 23:797805, Cremonini F, Camilleri M, Zinsmeister AR, Herrick LM, Beebe T, Talley NJ (2009) Sleep disturbances are linked to both upper and lower gastrointestinal symptoms in the general population. Despite the severity of the sleep episodes, the prognosis is very good. A significant (asystole > 3 s) cardioinhibitory reaction was recorded in four of the seven. Your doctor will likely do Gopinathannair R, Salgado BC, Olshansky B.Pacing for vasovagal syncope. These signs include dizziness, nausea, pale skin, "tunnel-like" vision, and and blood vessels. Continuous portable ECG monitoring, to The latest information about heart & vascular disorders, treatments, tests and prevention from the No. Tajdini M, Tavolinejad H, Aminorroaya A, Aryan Z, Jalali A, Alaeddini F, Sadeghian S, Yadangi S, Vasheghani-Farahani A, Kalhor P, Bozorgi A. J Am Heart Assoc. Results: Vasovagal syncope is almost never a life-threatening condition on its own. your heart works during exercise, Blood work, only if your doctor is The findings of Jardine and colleagues also raise important questions about the long-term prognosis of sleep syncope. Jardine DL, Krediet CTP, Cortelli P, Wieling W (2006) Fainting in your sleep? government site. Jeanmonod R. Vasovagal episode. de Jong JSY, Blok MRS, Thijs RD, Harms MPM, Hemels MEW, de Groot JR, van Dijk N, de Lange FJ (2020) Diagnostic yield and accuracy in a tertiary referral syncope unit validating the ESC guideline on syncope: a prospective cohort study. Vasovagal Your doctor will review your electrocardiogram (ECG) as well, to evaluate the hearts rhythm. 9 Situational syncope, for example defecation or cough syncope, is thought to be mediated by stimulation of the medullary vasodepressor region of the brain stem via sudden activation of mechanoreceptors present through out the body (heart, lungs, gut, and bladder). of Clin Auton Res 16:7678 https://www.uptodate.com/contents/search. Your doctor might use tests such Three patients reported nightmares immediately before the episode. Epilepsy 1 in 200 Cardiac syncope 1 in 30,000 Out of scope It does not cover management of conditions such as epilepsy in secondary care. Careers, Unable to load your collection due to an error. Psychosom Med 68:331339, Gilchrist PT, Ditto B (2015) Sense of impending doom: Inhibitory activity in waiting blood donors who subsequently experience vasovagal symptoms. The mechanism for vasovagal syncope remains uncertain but probably involves transient inhibition of sympathetic outflow from the medulla in response to certain triggers such as orthostasis and fear.3 We are postulating that this reaction can occur during supine sleep when, certainly, the orthostatic trigger does not apply. Sleep syncope is described as one possible subtype of vasovagal syncope interrupting sleep, causing abdominal symptoms, feeling faint, and loss of consciousness in bed or upon standing up [ 9, 10, 11, 12 ]. Also write down any new instructions your provider gives you. You might feel depressed This will be difficult because, although the condition may not be rare, the episodes are usually sporadic. By Richard N. Fogoros, MD 4 0 obj At this time the patient was pale and sweating profusely. For other people, it may happen frequently. down. National Library of Medicine We do not endorse non-Cleveland Clinic products or services. People who have a single, one-time episode of vasovagal syncope generally do not need any medical treatment at all. control, your doctor may advise against driving. -, Jardine DL, Krediet CTP, Cortelli P, Frampton CM, Wieling W (2009) Sympatho-vagal responses in patients with sleep and typical vasovagal syncope. If you can recognize an attack before it happens, you may be able to stop it. They occur for longer than five seconds. XJ^T/"ObRd \oJE Fainting during urination (micturition syncope): What causes it? 2017 May;40(5):591-595. doi: 10.1111/pace.13069. The latter symptom precipitated three admissions into hospital. For people who have repeated attacks of vasovagal syncope, your healthcare provider can tell you more about what to expect with it. Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. Lightheadedness (Presyncope): Causes, Symptoms, and More It was hypothesized that the chest discomfort was a manifestation of gastro-oesphageal reflux precipitated by consumption of food late at night, with the resultant pain causing psychic distress sufficient to induce a vasovagal event. Recognizing prodrome for vasovagal syncope can be a vital tool to help avoid injury. 5 Vasovagal syncope is an important diagnosis to establish as the condition is benign and the patient can be reassured. Vasovagal syncope or neurocardiogenic syncope (NCS) is caused by a drop in blood pressure, quickly followed by faster then slower heart rate resulting in poor blood Fainting Syncope: Definition, epidemiology, and classification. Marrison, S.W. eds. He or she may also massage the main arteries in your neck to see if that causes you to feel faint. 1 With a cumulative lifetime incidence of 3550%, syncope accounts for 13% of emergency department visits. Because some causes of fainting are dangerous, Sleep syncope: a new clinical entity or just a vasovagal syncope during wakefulness after sleep onset? It also discusses the symptoms and causes of the condition, as well as how it can be treated and prevented. How Diabetes and Dizziness Are Linked One of the precipitants for vasovagal syncope can be reduced cardiac pre-load secondary to peripheral venous pooling. 2 Here we report the case of a 65-year-old man with recurrent nocturnal supine pre-syncope and syncope secondary to an unusual presentation of vasovagal syncope. Most cardiac causes of nocturnal syncope, including repolarisation abnormalities, can be excluded by a normal ECG.2 Interictal (including sleep) EEG is useful to exclude epilepsy, which is the main differential diagnosis, remembering that this test has a sensitivity of only 0.50.75 in most series.1,5,15 Ideally, we require video monitoring of further episodes in other patients with continuous polysomnographic recordings. Ten were women. table. (B) Time 5.50 am, EEG unchanged, heart rate 126 beats/min. The site is secure. If you're prone to syncope (fainting), avoid triggers such as excessive heat, stress, dehydration, extreme pain, and prolonged exercise or standing. Parry, A case of nocturnal fainting: supine vasovagal syncope, EP Europace, Volume 9, Issue 9, September 2007, Pages 835836, https://doi.org/10.1093/europace/eum095. Usually, these nerves coordinate their actions so you always get enough blood to your If yes, what were you doing before you fainted then? These symptoms were reproduced by tilt testing in 64% of the group. Benditt D, et al. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide, This PDF is available to Subscribers Only. Seizures & Syncope. Syncope (fainting) | COR Medical Group on how to help prevent fainting. increase the amount of time spent upright. Accessibility 2006 Jun;64(6):602-8; discussion 609-10. Tips to help you get the most from a visit to your healthcare provider: Cedars-Sinai has a range of comprehensive treatment options. the air. This is no longer thought to be true. Vasovagal Syncope or Neurocardiogenic NCS Blanc JJ. The patients had histories consistent with vasovagal syncope and most had experienced daytime vasovagal episodes in response to common triggers. Loss of consciousness and falling to the ground, usually for no more than 15 seconds. This article explains the different phases of a fainting episode due to vasovagal syncope. In older adults, it makes up about half of those cases. Careers. Disorientation or confusion either doesnt happen or they dont last longer than 30 seconds. If your blood pressure drops too much, this causes an attack of vasovagal syncope, and you pass out because theres not enough blood flow to your brain. Although treatment of sleep apnea may relieve some autonomic symptoms, it is currently unknown whether treatment of sleep apnea is specifically associated with the resolution of orthostatism and syncope. Eating a diet slightly higher in salt may help prevent syncope symptoms by keeping blood pressure up. 2 0 obj medicines your doctor may advise a trial of include: If these medicines are ineffective, It is also known that unpleasant emotion stimuli by themselves may, in susceptible people, induce a vasovagal reaction, even in the absence of a gravitational stress. Check with your doctor before adding extra salt to your diet. Overall, while the differential diagnosis is complex in addition to multiple comorbidities, further evidence is needed to support this entity, including the clinical observation of this phenomenon, clarification of symptomatology (e.g., sleep vs. nocturnal), and an understanding of the mechanism behind the self-reported symptoms. (https://pubmed.ncbi.nlm.nih.gov/12270863/). A healthcare provider should examine you right away to determine if a more severe condition caused you to faint. It occurs when someone is upright and their blood pressure drops. He described pre-syncope on many occasions since 1986, almost invariably occurring while lying flat in bed at night following consumption of a late meal, particularly a fatty or spicy meal. Advertising on our site helps support our mission. Vasovagal syncope is the most common cause of fainting. Blood can pool in your legs which leads to a drop in blood pressure, and not Nine patients also had daytime syncopal and presyncopal episodes associated with vasovagal symptoms. For full access to this pdf, sign in to an existing account, or purchase an annual subscription. Elsevier; 2020. https://www.clinicalkey.com. WebThe differential diagnosis includes sleep apnoea, sleep paralysis, hypoglycaemia, panic attacks, and cardiac arrhythmia. Nausea and Lightheadedness: Causes and Treatments, Postural orthostatic tachycardia syndrome (POTS), Syncope: Definition, epidemiology, and classification, Reflex syncope, anxiety level, and family history of cardiovascular disease in young women: case-control study, Management strategies for recurrent vasovagal syncope, Recent history of vasovagal syncope in a young, referral-based population is a stronger predictor of recurrent syncope than lifetime syncope burden, Visual disturbances, such as "shimmering" vision or tunnel vision. pressure while lying down, seated, and then standing. places and don't stand for long periods. medical history and do a physical exam. WebSleep syncope: important clinical associations with phobia and vagotonia Sleep syncope is not rare and is characterised by lifelong, intermittent but severe episodes of vasovagal It is likely that most people will have a fainting episode sometime during their lives. At the risk of being pedantic, it remains unclear whether sleep syncope is true syncope, or whether the experience is possibly better described as nocturnal syncope because the predominantly abdominal symptoms are upon wakening, and syncope can obviously only occur once conscious. Talk to our Chatbot to narrow down your search. dont usually have warning signs before you faint. +ve, syncope during 30 minutes of head-up 60 tilt; ve, no syncope during tilt; Abdo, abdominal pain; Bradycardia, heart rate < 50 beats/min during nocturnal episode; Clusters, episodes clustered in time; Defec, urge to defecate; Duration LOC, maximum time spent unconscious during an episode; EEG, interictal electroencephalogram; F, female; Horiz, horizontal body position at time of attack; M, male; N/D, not done; noct, total number of episodes interrupting sleep during lifetime; Symptoms after LOC, symptoms during recovery after loss of consciousness; Symptoms during LOC, symptoms immediately before or after loss of consciousness; Tilt, head-up tilt test result; Total past year, total number of episodes interrupting sleep during past year; VVS, vasovagal syncope episodes. Richard N. Fogoros, MD, is a retired professor of medicine and board-certified internal medicine physician and cardiologist. (https://aspe.hhs.gov/pdf-report/utilization-emergency-department-services). It's also essential to get medical attention after fainting if you hit your head (even only slightly). reflex syncope. Accessibility On the basis of our observations and limited data, we think that patients who have nocturnal loss of consciousness with classical vasovagal prodromal symptoms may have true vasovagal syncope. But there are several other possible mechanisms by which the brainstem may be transiently overridden: firstly, asymmetrical slow wave activity in the cortex10; secondly, rapid changes in sympathetic activity occurring during the transition between the stages of sleep11; thirdly, cortical inhibitory discharge as the result of a nightmare4; and lastly, gastrointestinal afferents firing paradoxically in response to visceral stimuli, as in defecation syncope.12 We consider that the final possibility is unlikely to occur and that abdominal discomfort is more likely to be an effect rather than a cause of increased vasovagal activity in our patients.13 There are several mechanisms by which major changes in visceral autonomic tone may cause abdominal pain.14. For the most part, syncope occurring while the patient is supine tends to argue against most forms of neurally mediated syncope (carotid sinus syndrome possibly being an exception). The ECG, however, showed a pronounced bradycardia (36 beats/min) during the episode, with an atrioventricular node escape rhythm. CAS Many factors can trigger vasovagal syncope, including orthostatic, blood loss, and situational factors such as emotional stress, dehydration, pain, and hyperventilation [3]. Loosen any belts, collars, or other tight clothing/accessories and call for professional medical help. Recurrent syncope can increase anxiety and other mood disorders like depression. Part of Springer Nature. Get useful, helpful and relevant health + wellness information. fainting response. For others, the problem is more chronic People who are on blood-thinning medications should always get medical attention after a fall because they have a much higher risk for internal bleeding. Vasovagal syncope occurs when something triggers the vasovagal reflex, which causes blood vessels to dilate (widen) suddenly. 7 , 8 In the case of supine syncope this mechanism is unlikely to apply. Principles and practice of sleep medicine. official website and that any information you provide is encrypted Diagnostic criteria for vasovagal syncope based on a quantitative history. The site is secure. Inclusion in an NLM database does not imply endorsement of, or agreement with, on these medicines has revealed uncertain benefits in vasovagal syncope. If youve never had vasovagal syncope before and pass out. Mimics: Clinical Recognition and Management The following may also occur: Vasovagal syncope is almost always triggered by something happening to you or around you. Clin Auton Res 27:215217, Gerlach AL, Spellmeyer G, Vogele C, Huster R, Stevens S, Hetzel G et al (2006) Blood-injury phobia with and without a history of fainting: disgust sensitivity does not explain the fainting response. If you feel like youre going to faint, you may be able to stop the episode by lying down with your legs up or sitting in a chair with your head between your knees. <>/Metadata 162 0 R/ViewerPreferences 163 0 R>> The Author(s), under exclusive licence to Springer-Verlag GmbH Germany. A 65-year-old man was referred for investigation of recurrent pre-syncope and syncope. HHS Vulnerability Disclosure, Help Although firm inferences cannot be based upon the current findings, this appears to be a syndromic entity of high clinical interest. Vasovagal Syncope: A Review of Current and Future Strategies Herein we describe a 73-year-old man who had What a Sudden Drop in Blood Pressure Means. There's a strong link between vasovagal syncope and anxiety, and it can have a cyclical effect: Strong feelings of stress and anxiety may be a trigger for syncope. vasovagal syncope. MeSH or tests. This can happen for many reasons, some of which are preventable. endobj of All the authors declare that they have no conflict of interest. visit. WebMD Your healthcare provider can help you learn more about the following: Knowing what it feels like before you have an attack can allow you to sit or lay down so you're not hurt if you fall. However, your healthcare provider can reassure you and give you tips and resources. When a patient presents with a spell of unconsciousness at night, epilepsy, cardiac arrhythmias, sleep disorders, hyperventilation attacks, and hypoglycaemia are all diagnoses usually considered. After sleeping for some hours, she awoke and felt nauseous with abdominal discomfort and the urge to defecate. Prog Cardiovasc Dis 50:4980, Article Several conditions that can cause fainting, such as. You official website and that any information you provide is encrypted Abnormal autonomic responses to various stimuli cause reflex mediated changes in heart rate or vascular tone, to the extent that cerebral perfusion cannot be maintained adequately. Characteristic symptoms of sleep syncope included vagotonia and abdominal symptoms. Sumner GL, Rose MS, Koshman ML, et al. Accessed Dec. 11, 2020. During an episode he felt sweaty, clammy and nauseous, with severe dyspepsia. Know the reason for your visit and what you want to happen. Have you recently started taking a new medication? xn6A3F=C&v8!Eyd[ 0(7N?~'?_xwoyKW_bu|e/:zDG k}=>hG'W'{vW8v_t>_CU{&~6,Be:Dw*WGa;Z7lZ?F D\z!05_u([o'X{P[o`;`xRgJnUU^X5t It's often accompanied by other symptoms of the dysautonomias, such as: Contact your doctor if you experience your first-ever episode of syncope. Bradycardia was documented in five patients. Kardiol Pol. keep up blood volume, Drinking plenty of fluids, to maintain If you have a follow-up appointment, write down the date, time, and purpose for that This pooling is often accompanied by a slowing heart rate. Bring someone with you to help you ask questions and remember what your provider tells prevent fainting. In this test, you are strapped to a table that tilts upward to put you in a position similar to standing. What were you doing just before you fainted? Moreover, there is a limited understanding of some of the physiological mechanisms and a lack of consensus regarding its origins and adaptive functions [4, 5]. Clinical Autonomic Research However, if you experience vasovagal syncope often enough to interfere with your quality of life, your doctor may suggest trying one or more of the following remedies: It's a good idea to prepare for your appointment to make the most of your time with your doctor. The frequency of attacks varied from weekly to annually and there was no relation to menstruation or alcohol. Vasovagal syncope is when your body reacts so strongly to a trigger like having blood drawn or being scared that your heart rate and blood pressure plummet, causing you to faint. An official website of the United States government. If the drop in blood pressure is enough to rob the brain of the amount of oxygen it needs, fainting occurs. Common triggers include: Two main types of reflex syncope are similar to vasovagal syncope. We then proceeded to 70 head up tilt table testing. Your healthcare provider is likely also to ask questions about what might have caused your fainting. However, these are difficult to obtain because of the rarity of sleep syncope. Because the attacks occurred at night in bed, epilepsy was often initially diagnosed, especially if muscle jerking was observed. Clin Auton Res 27:253261, Diehl RR (2017) The target of vasovagal syncope is hemostasis and not heart protection. At the same time, your heartbeat may One of the key nerves in this system is the vagus nerve, which controls your heart and blood pressure. Are women really more affected by vasovagal syncope than men? After-effects of fainting can include nausea, dizziness, fatigue, and appetite loss. These were nausea, sweating, lightheadedness, and abdominal discomfort during the attack, followed by tiredness and weakness afterwards. Vasovagal syncope is conventionally defined as a neurally mediated reflex triggered by central hypovolemia, associated with vasodilation of arterial and venous beds and bradycardia. might not feel normal for a little while after you faint. After an episode of vasovagal syncope, many people will feel nauseous, dizzy, and extremely tired for a few hours.

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