vagal syncope

Howard Homler hhomler at
Fri Feb 16 00:39:42 EST 1996

GPO/Materials Management Services <specproc at> wrote:

>A friend's father who is 89 has a vagal syncope and is under 
>observation.  What is the prognosis?
>Sincerely, Joel Hettger

At his age, the prognosis may be serious.  Vagal syncope is common in
young people, who are suddenly startled or have a faint with
venipuncture.  In older people, unless there is a clear-cut
precipitant that can be fixed --like straining with urination or too
tight a necktie or too strong blood pressure meds, the effects of
fainting can be a hip fracture or concussion.  In older people,
neurocardiogenic syncope, a form of vaso-vagal syncope, can be
detected with a tilt table test, and treated with medication.  Serious
heart rhythm disturbances also can cause an older person to pass out
and need to be excluded in unclear cases...
General Internal Medicine
Sacramento, California

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