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Having Dizzy Spells. Could It Be Related To Neurocardiogenic Syncope?

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Posted on Tue, 2 Apr 2013
Question: My mother keeps having dizzy spells and they say that they can't find anything wrong that is causing this. My neice was diagnoised with nerocardiogentic syncope could this be the same thing. Mom's bp goes up then she gets dizzy they say its from her getting up to fast she is 73 yers old.
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Answered by Dr. Michelle Gibson James (29 minutes later)
Hi, thanks for using healthcare magic

If her doctors are advising her to get up slowly, it is possible that they believe that the problem is related to postural hypotension.
This involves a decrease in blood pressure as a person rises. Normally when a person rises the body compensates so that there is no significant change in blood pressure.There is normally contraction of blood vessels and increase in the blood going to the heart so that there is no change in blood pressure.
In orthostatic hypotension there is a significant change in the blood pressure within 3 minutes of standing.

It can result in dizziness , lightheadness, racing heart beat.

There are a number of different causes including : (1) side effect of medication, some blood pressure medication can have this side effect, you may want to consider speaking to her doctor to see if it is contributing to her symptoms
(2)inadequate fluid intake
(3) anemia
(4)persons with heart disease (heart failure or irregular rhythm of the heart)
(5)diabetes
(6) neurological diseases such as parkinsons or stroke are also associated with this problem

Orthostatic hypotension may be a symptom of another condition. To find out the exact reason your mother would require (1)documentation of a change in blood pressure and heart rate as she moves from sitting to standing (2) examination of the central nervous system (3) examination of the heart
Blood tests should be done to check for anemia.
The treatment depends on the results of the history, examination and investigations

I hope this helps. Feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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Having Dizzy Spells. Could It Be Related To Neurocardiogenic Syncope?

Hi, thanks for using healthcare magic

If her doctors are advising her to get up slowly, it is possible that they believe that the problem is related to postural hypotension.
This involves a decrease in blood pressure as a person rises. Normally when a person rises the body compensates so that there is no significant change in blood pressure.There is normally contraction of blood vessels and increase in the blood going to the heart so that there is no change in blood pressure.
In orthostatic hypotension there is a significant change in the blood pressure within 3 minutes of standing.

It can result in dizziness , lightheadness, racing heart beat.

There are a number of different causes including : (1) side effect of medication, some blood pressure medication can have this side effect, you may want to consider speaking to her doctor to see if it is contributing to her symptoms
(2)inadequate fluid intake
(3) anemia
(4)persons with heart disease (heart failure or irregular rhythm of the heart)
(5)diabetes
(6) neurological diseases such as parkinsons or stroke are also associated with this problem

Orthostatic hypotension may be a symptom of another condition. To find out the exact reason your mother would require (1)documentation of a change in blood pressure and heart rate as she moves from sitting to standing (2) examination of the central nervous system (3) examination of the heart
Blood tests should be done to check for anemia.
The treatment depends on the results of the history, examination and investigations

I hope this helps. Feel free to ask any other questions