Brief Answer:
Seems like Syncopal attacks, needs detailed work up with holter

Detailed Answer:
Hi! Welcome to health care magic!

Based on the history you have shared, it seems as if you have suffered with cardiac Syncopal attacks.

Actually, such close to fainting episodes and cloudiness can't be ignored as for a normal individual, to have such events can be a tip of the iceberg. Also that the history of arrhythmia and MCA territory blocks in the past call for little more concerns too.

Broadly speaking, Such events can generally be due to four main causes: Cardiac, neurological, metabolic or related to inner ear.

For Cardiac causes, a 24 hour EKG monitoring is mandatory to look for any episodes of arrytmias alongwith looking for postural drop, that is the sudden drop of blood pressure on postural changes due to any defect in baroreceptors or Autonomic neuropthies.

For neurological causes, carotid doppler and brain MRA can be suggested to look for any abnormalities to blood supply of brain leading to such transient attacks alongwith to exclude any clot in the brain vasculature.

For metabolic derangement electrolytes levels alongwith thyroid and sugar levels needs to be confirmed in blood screening.

For ear causes, tilt test and ENT examination may be needed.

All these workups, needs to be shared with your GP to proceed accordingly.

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Brief Answer:
Postural drop is drop of blood pressure on rising up

Detailed Answer:
Hi! Thanks for sharing your concerns. Postural drop means that automatic control of blood pressure from lying to sitting up to maintain a constant blood pressure is lost, and a person when gets up suddenly or changes posture the blood pressure drops down and such near to fainting spell are observed. Hoping you a speedy recovery. If you dont have any more questions, please close the discussion. Regards.

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