🩺 Syncope: Causes & Diagnosis | बेहोशी के कारण और पहचान

What Is Syncope? | सिंकॉप क्या है?

Syncope is a sudden, brief loss of consciousness due to temporary reduction in blood flow to the brain.
सिंकॉप एक ऐसी स्थिति है जिसमें कुछ समय के लिए होश चला जाता है, कारण है—दिमाग तक रक्त प्रवाह का कम हो जाना।

It usually lasts a few seconds to minutes, with quick recovery.

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🌟 Causes of Syncope | सिंकॉप के प्रमुख कारण

1️⃣ Vasovagal (Neurocardiogenic) Syncope | वेसोवैगल / न्यूरोकार्डियोजेनिक

Most common type; triggered by:

• Emotional stress

• Fear or pain

• Dehydration

• Standing too long

Symptoms before fainting: nausea, sweating, dim vision.
Most benign.

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2️⃣ Orthostatic Hypotension | ऑर्थोस्टेटिक हाइपोटेंशन

When BP falls suddenly on standing.

Causes:

• Dehydration

• Excess heat

• Anemia

• Blood loss

• Diabetic neuropathy

• Certain BP or psychiatric medications

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3️⃣ Cardiac Syncope | हृदय संबंधी सिंकॉप (खतरनाक)

This is serious and may indicate life-threatening disease.

Causes:

• Arrhythmias (tachycardia, bradycardia, AV block)

• Structural heart disease

• Aortic stenosis

• Cardiomyopathy

• Myocardial infarction

Red flags:

• No warning signs

• Occurs during exertion

• Family history of sudden cardiac death

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4️⃣ Neurological Causes | न्यूरोलॉजिकल कारण

• Seizures

• Stroke or TIA

• Migraine-associated syncope

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5️⃣ Metabolic Causes | मेटाबॉलिक कारण

• Hypoglycemia

• Severe anemia

• Electrolyte imbalance

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6️⃣ Situational Syncope | सिचुएशनल सिंकॉप

Triggered by:

• Coughing

• Urination

• Swallowing

• Exercise

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🔍 Diagnosis of Syncope | सिंकॉप का परीक्षण कैसे किया जाता है?

A thorough evaluation helps identify high-risk patients and prevent future episodes.

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1️⃣ Detailed History & Physical Examination | रोगी का इतिहास और जांच

This is the most important step.

Doctor assesses:

• What happened before fainting

• Duration of unconsciousness

• Recovery time

• Previous episodes

• Family history

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2️⃣ ECG (Electrocardiogram) | ईसीजी

Essential to rule out:

• Heart block

• Arrhythmias

• Ischemia

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3️⃣ Echocardiography | इकोकार्डियोग्राफी

To detect:

• Valve disease

• Cardiomyopathy

• LV function

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4️⃣ Blood Tests | रक्त जांच

• Hemoglobin

• Blood sugar

• Electrolytes

• Kidney function

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5️⃣ Tilt Table Test | टिल्ट टेबल टेस्ट

Used for:

• Vasovagal syncope

• Orthostatic hypotension

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6️⃣ Holter Monitoring (24–48 hrs) | होल्टर मॉनिटरिंग

Detects intermittent arrhythmias.

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7️⃣ Neurological Evaluation | न्यूरोलॉजिकल जांच

If seizures or stroke are suspected:

• EEG

• CT/MRI brain

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🚨 When to Seek Immediate Medical Attention? | कब तुरंत अस्पताल जाएं?

• Syncope during exercise

• No warning signs

• Chest pain or palpitations

• Breathlessness

• Recurrent episodes

• Family history of sudden death

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🌿 Prevention Tips | सिंकॉप से बचाव

• Stay hydrated

• Avoid long standing

• Slowly change posture

• Manage BP, sugar, anemia

• Avoid skipping meals

• Review medications regularly

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🏥 Trusted Care at Radha Krishna Hospital, Kota & Baran

Specialized evaluation for:

• Cardiac syncope

• Recurrent fainting

• Heart rhythm disorders

• Diabetic autonomic neuropathy

Dr. Kamlesh Agrawal, MD Medicine
25+ years of trusted care in Kota & Baran.