What are some treatments for vasovagal reflex?!
Question: What are some treatments for vasovagal reflex!?
My father has been told there is no cure for his disease and that he will be bed ridden for the rest of his life!. Are there known treatments for vasovagal reflex!?Www@Answer-Health@Com
Answers:
The vasovagal reflex, which causes the heart rate to slow and the blood vessels to widen, or dilate!. As a result, blood pools in the lower body and less blood goes to the brain!. This reflex can be triggered by many things, including stress, pain, fear, coughing, holding your breath, and urinating!.
Though vasovagal reactions themselves are not fatal, treatment involving medication and adequate hydration is imperative because resulting falls can be harmful!.
Beta-blockers are commonly used to treat vasovagal syncope!. Though it seems paradoxical to select a negatively chronotropic medication to treat bradycardia, the negative inotropic effects may decrease the afferent signals from the mechanoreceptors to the brain stem, thereby suppressing the efferent arm of the reflex !.
Disopyramide has been used successfully in the treatment of neurally mediated syncope!. This type 1 antiarrhythmic has profound negative inotropic effects and anticholinergic properties!. The negative inotropic effects may decrease afferent mechanoreceptor activity, while the anticholinergic effects may decrease vagal (efferent) output!.
The selective serotonin reuptake inhibitors (SSRIs) have also been used with success in patients who have vasovagal syncope, though the mechanism of action is speculative!. A study has shown that intracerebroventricular serotonin induces hypotension, inhibits renal sympathetics, and excites adrenal sympathetics!. SSRIs may blunt the response to shifts in serotonin levels!.
Fludrocortisone acetate, which has volume-expanding properties, has been used with some success!. Midodrine, which received US Food and Drug Administration approval in September 1996 for the treatment of orthostatic hypotension, has peripheral alpha-adrenergic effects and has shown promise in treating vasovagal reactions !.
Vasovagal reactions do not appear to be life-threatening but certainly are a cause of great concerns!. In many cases, the condition can occur suddenly and without warning!. The falls incurred from such vasovagal events can be very dangerous, making avoidance of causative exercise prudent, but not necessarily imperative!.
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I suggest your Dad get a 2nd opinion!. Yes, it can't be cured at this time but, it can be treated with meds!. I wonder why his doctor didn't discuss a treatment plan!? With proper treatment he should be able to have a normal life!. I didn't see any articles where the patient was forced to be bed ridden!. Try a new cardiologist & discuss treatment!. If he is nervous walking around!.!.!.!.he can always wear an event recorder to fine tune his condition for his Cardiologist!. Good luck!Www@Answer-Health@Com
Though vasovagal reactions themselves are not fatal, treatment involving medication and adequate hydration is imperative because resulting falls can be harmful!.
Beta-blockers are commonly used to treat vasovagal syncope!. Though it seems paradoxical to select a negatively chronotropic medication to treat bradycardia, the negative inotropic effects may decrease the afferent signals from the mechanoreceptors to the brain stem, thereby suppressing the efferent arm of the reflex !.
Disopyramide has been used successfully in the treatment of neurally mediated syncope!. This type 1 antiarrhythmic has profound negative inotropic effects and anticholinergic properties!. The negative inotropic effects may decrease afferent mechanoreceptor activity, while the anticholinergic effects may decrease vagal (efferent) output!.
The selective serotonin reuptake inhibitors (SSRIs) have also been used with success in patients who have vasovagal syncope, though the mechanism of action is speculative!. A study has shown that intracerebroventricular serotonin induces hypotension, inhibits renal sympathetics, and excites adrenal sympathetics!. SSRIs may blunt the response to shifts in serotonin levels!.
Fludrocortisone acetate, which has volume-expanding properties, has been used with some success!. Midodrine, which received US Food and Drug Administration approval in September 1996 for the treatment of orthostatic hypotension, has peripheral alpha-adrenergic effects and has shown promise in treating vasovagal reactions !.
Vasovagal reactions do not appear to be life-threatening but certainly are a cause of great concerns!. In many cases, the condition can occur suddenly and without warning!. The falls incurred from such vasovagal events can be very dangerous, making avoidance of causative exercise prudent, but not necessarily imperative!.
________________________
I suggest your Dad get a 2nd opinion!. Yes, it can't be cured at this time but, it can be treated with meds!. I wonder why his doctor didn't discuss a treatment plan!? With proper treatment he should be able to have a normal life!. I didn't see any articles where the patient was forced to be bed ridden!. Try a new cardiologist & discuss treatment!. If he is nervous walking around!.!.!.!.he can always wear an event recorder to fine tune his condition for his Cardiologist!. Good luck!Www@Answer-Health@Com