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Neurally mediated syncope.

Rose Anne Kenny1

  • 1Department of Medicine (Geriatrics), Cardiovascular Investigation Unit, Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne NE1 4LP, UK. r.a.kenny@ncl.ac.uk

Clinics in Geriatric Medicine
|August 16, 2002
PubMed
Summary
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Syncope, or fainting, is more common in older adults due to age-related changes. Common causes include carotid sinus syndrome, orthostatic hypotension, and vasovagal syncope, which can present as falls.

Area of Science:

  • Geriatrics
  • Cardiology
  • Neurology

Background:

  • Syncope prevalence and incidence rise with age.
  • Age-related physiological changes affect neurocardiovascular, endocrine, and renal systems.
  • Cardiovascular syncope can manifest as falls due to amnesia or hypotension.

Purpose of the Study:

  • To investigate the causes of syncope in older adults.
  • To highlight the link between syncope and falls in the elderly.
  • To identify common causes of neurally mediated syncope in this demographic.

Main Methods:

  • Review of age-related physiological changes impacting syncope.
  • Analysis of syncope presentation as falls.
  • Identification of common neurally mediated syncope causes.

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Main Results:

  • Syncope increases with advancing years.
  • Falls can be a presentation of cardiovascular syncope.
  • Carotid sinus syndrome, orthostatic hypotension, and vasovagal syncope are common causes in older adults.

Conclusions:

  • Drop attacks and non-accidental falls warrant investigation for syncope.
  • Neurally mediated syncope is prevalent in the elderly population.
  • Understanding these causes is crucial for managing falls in older adults.