[This port] The First Affiliated Hospital of Shantou University School of Medicine: The girl’s repeated syncope was actually caused by a vascular vagus nerve problem

Recently, a 20-year-old female patient was admitted to the Department of Cardiovascular Medicine, The First Affiliated Hospital of Shantou University School of Medicine , She has had repeated syncope for nearly 10 years, often suddenly losing consciousness and fainting. After the doctor’s diagnosis, the cause of the patient’s disease needs to be alerted.

Xiaoyu, a 20-year-old college student from Raoping, Chaozhou, has been having repeated syncope for nearly 10 years. Xiaoyu said that when he went to other hospitals for treatment, he was diagnosed with epilepsy. After taking anti-epileptic drugs for many years, he still fainted repeatedly.

Patient Xiaoyu told reporters: “I took epilepsy medicine for 4 years, but the effect was not very good, so I didn’t take it. I might faint six or seven times a year. The whole process only takes a minute or two, and then you wake up after sweating.”

Recently, Xiao Yu, accompanied by his family members, came to the medical school of Shantou University. After a detailed examination, the doctor’s clinical diagnosis was considered to be vasovagal syncope. According to reports, vasovagal syncope is caused by a sudden increase in vagal activity that causes a significant slowing of heart rate or a sudden decrease in sympathetic activity that causes vasodilation. It is the most common cause of syncope, accounting for 58% to 74% of syncope cases. Common triggers include Emotional stress, fatigue, standing for too long, hunger, and prolonged stay in crowded, stuffy environments, etc.

Chen Yequn, Deputy Dean of the Cardiovascular Hospital of the First Affiliated Hospital of Shantou University School of Medicine, said : “This type of vagal syncope is actually very common clinically, especially in young people. According to statistics, probably everyone has at least one episode of this type of vagal syncope in their lifetime, so many people will This happens, but some people are very frequent, some rarely. Such patients often go to the neurology department, because many people think that syncope is a problem of the nervous system, so they are misdiagnosed as epilepsy, so For this syncope patient, many should come to our cardiovascular department for treatment, and more than 70% to 80% are a disease of our cardiovascular department.”

After the condition After analyzing and communicating with doctors and patients, Xiaoyu received radiofrequency ablation recently, and the postoperative condition is good.

The doctor reminds everyone that patients with repeated syncope should maintain a good routine in daily life , Regular physical examination, if you feel unwell, you need to see a doctor in time, don’t let a small illness become a serious one.

Chen Yequn said: “For this vasovagal syncope, we must first pay attention to it and avoid prolonged standing, because prolonged standing can induce this vasovagal syncope. A very important cause of syncope, the other one, like the elderly, should be very careful when changing their posture, especially if the nerve regulation function of the elderly is not good. This type of syncope is easy to occur.”