Pathophysiological mechanisms underlying vasovagal syncope in young subjects.

The occurrence of vasovagal fainting is common in young subjects, but the origin of the precipitating hemodynamic mechanisms involved remain a subject of considerable speculation. Vasovagal fainting is not a sudden unset phenomenon, early failure of vascular resistance responses occurs in faint-pron...

Full description

Bibliographic Details
Published in:Pacing & Clinical Electrophysiology Vol. 20; no. 8; pp. 2034 - 2039
Main Authors: Wieling W, Smit AA, De Jong-De Vos Van Steen Wijk CC, Van Lieshout JJ, Karemaker JM
Format: Journal Article
Published: Wiley-Blackwell Aug1997
Online Access:View this record in EBSCOhost
Description
Summary:The occurrence of vasovagal fainting is common in young subjects, but the origin of the precipitating hemodynamic mechanisms involved remain a subject of considerable speculation. Vasovagal fainting is not a sudden unset phenomenon, early failure of vascular resistance responses occurs in faint-prone young subjects. The variability of hemodynamic responses during the actual faint is large, but the main mechanism operative during, is withdrawal of sympathetic outflow to blood vessels in skeletal muscle with impairment of ability to maintain vasomotor tone.