Syncope or fainting attack -do always need a treatment? | Max Hospital
  1. Home
  2. Blogs
  3. Cardiology
  4. Syncope or fainting attack -do always need a treatment?

Get Second Opinion

Please provide your phone number with country code

2 + 1 =

Doc Connect

Hospital : 
Max Super Speciality Hospital, Saket
  • Robotic Urological Surgery: 15 years journey 
    Dr. Rahul Yadav, Dr. Anant Kumar
  • Robotic surgery is the latest in advanced onco surgical procedures 
    Dr. Harit Chaturvedi
  • Percutaneous balloon aortic valvuloplasty & balloon dilatation of aortic coarctation in a 10 year old child 
    Dr. Neeraj Awasthy, Dr. Sushil Shukla
  • Role of CT/MR imaging and echocardiography in evaluation of valsalva sinus aneurysm 
    Dr. Reena Anand, Dr. Raj Kumar, Dr. Divya Malhotra, Dr. Bharat Aggarwal
  • Risk factors for patients undergoing treatment for Breast Cancer
    Ms. Kanika Arora, Ms. Ritika Samaddar
  • Radiology Case of The Month 
    Dr. Nafisa Shakir Batta, Dr. Dhruv Jain
October, 2015 :15
Emergency Call Button

DELHI / NCR : 011-4055 4055

MOHALI : 77107-77107

DEHRADUN : 0135 719 3333

BATHINDA : 0164-5212000



Bio Medical Waste Report For Shalimar Bagh

Month Red Autoclave(Infected Plastic Waste) Yellow- Incineration(AnatomicalWaste & Soiled Waste) Blue Autoclave (Glass- Bottles) Black Cytotoxic- Incineration( Cytotoxic Contaminated Items) White- Sharp Total Bags Total Weight(In KG's)
  No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's)    
Apr-17 924 2963.50 954 2994.10 239 1017.30 103 279.20 1645 606.40 3865 7861.00
May-17 1175 4624.12 1028 3498.40 276 1524.34 87 195.01 1803 823.85 4369 10665.71
Jun-17 1060 4511.45 902 2886.66 293 1324.05 76 194.00 2057 1100.69 4388 10016.85
Jul-17                     0 0.00
Aug-17                     0 0.00
Sep-17                     0 0.00
Oct-17                     0 0.00
Nov-17                     0 0.00
Dec-17                     0 0.00
Jan-18                     0 0.00
Feb-18                     0 0.00
Mar-18                     0 0.00
YTD 3159 12099.065 2884 9379.155 808 3865.69 266 668.705 5505 2530.94 12622 28543.555

Syncope or fainting attack -do always need a treatment?

Home >> Blogs >> Cardiology >> Syncope or fainting attack -do always need a treatment?

Clinical Directorate

For more info please call 8744 888 888 (Delhi – NCR) & 9988 422 333 (Chandigarh Tri-city), or mail at

October 19, 2015 0 121 2 minutes, 16 seconds read
Best Cardiologist in Delhi, India - Arun Kumar Gupta
Principal Consultant
Cardiac Sciences, Cardiology

Syncope is defined as transient loss of consciousness lasting for seconds to a few minutes with complete recovery. Only 70% of the fainting attacks are diagnosed despite thorough investigation. Out of these, 60% are due to vasovagal reflex, 30% are due to heart disorders and rest because of other reasons.

Vasovagal reflex is the most common cause of syncope, or in general terms is described as fainting attack by most of the patients. It can occur in any age group. They are usually precipitated by prolonged standing, dehydration, sight of blood, trauma or sometimes fear. Once this reflex is initiated, it causes drop in the heart rate and blood pressure, leading to decreased blood flow to the brain. Eventually patient becomes unconscious and falls on the floor following which they have profuse sweating and the body becomes warm. The episode usually lasts for 10-20 minutes with eventually complete recovery.

Various heart disorders are also responsible for fainting attacks and are usually found in old age. They occur suddenly and last for few minutes and are recurrent in nature. They can occur in any posture and may be preceded by a history of chest pain. Sometimes narrowing of the aortic valve leads to inability of the heart to supply blood to the brain, eventually causing them to faint.

Last but not the least, Transient Ischemic Attack (TIA) is also one of the causes of the fainting attack. There is transient decrease of blood flow to the brain because of obstruction in vessels supplying blood to the brain which recovers spontaneously.

MANAGEMENT: Almost 80% of these fainting attacks can be diagnosed by simply taking good history and a physical examination. Unfortunately most of the times the episode goes unnoticed because of lack of witness at the time of the event. Seldom we have got a detailed description of the episode.

Single episode does not require any investigation or treatment. Since most of these episodes are due to vasovagal reflex in which falling down is itself a kind of compensatory response of body to restore blood flow to the brain which can further be increased by raising the legs, they do not require further investigation or treatment. Of course, these attacks can be prevented by avoiding those circumstances which precipitate these episodes.

Cardiac or heart related syncopes can be investigated by doing electrocardiograph (ECG), 24hr ECG monitoring or by event loop recorder (ELR). Permanent pacemaker is usually the treatment of choice from the best heart hospital in Delhi. Aortic valve replacement is required for narrowed aortic valve which can be picked up on echocardiography. Transient ischemic attacks can be treated with low dose aspirin.

Majority of fainting attacks are harmless which do not need treatment and should not become a cause of worry.

Related Articles

Featured Doctors

Book an Appointment