Reflex syncope

Low urgency
Very common-
It is a temporary loss of consciousness or fainting caused by a short-lived reduction (between seconds to a few minutes) in blood flow to the brain. The symptoms are caused by stimulation of the vagus nerve, which is where the name comes from. This nerve is responsible for regulating the circulatory system; its stimulation causes the heart rate to drop and blood vessels to dilate (parasympathetic nervous system). It is a "reflex" that generally presents with: sudden changes of position, standing or sitting for a long time without changing position, emotional stress and feeling very intense pain. It manifests with loss of bodily function and consciousness. Before fainting, there are symptoms that usually appear: nausea, pallor, sweating, cold skin with sweating. Diagnosis is clinical; other tests will be conducted if there are doubts about the cause. During initial care, you should place the person’s head below their body to facilitate the return of blood to the brain. They must not be given anything to eat or drink until the person completely regains consciousness.
Bibliographic references
  1. Brian Olshansky. Reflex syncope. UpToDate. Agosto 2014
  2. Task Force for the Diagnosis and Management of Syncope, European Society of Cardiology (ESC), European Heart Rhythm Association (EHRA), et al. Guidelines for the diagnosis and management of syncope (version 2009). Eur Heart J 2009; 30:2631.
  3. Chen-Scarabelli C. Neurocardiogenic syncope. BMJ 2004; 329:336.
  4. Mosqueda-Garcia R. The elusive pathophysiology of neurally mediated syncope. Circulation 2000; 102:2898.
  5. Chen MY. Cardiac electrophysiologic and hemodynamic correlates of neurally mediated syncope. Am J Cardiol 1989; 63:66.
  6. Roy Freeman. Síncope. Harrison. Principios de Medicina Interna, 19e. Capítulo 27
Author
Dr. Patricia Sánchez
Copyright
© TeckelMedical 2026

Symptoms

    Loss of consciousness


    Temporary loss of consciousness


    Feel like fainting before losing consciousness


    Bradycardia


    Low blood pressure

Symptoms to watch out for

If it is accompanied by seizures
Accompanied by falls, blows to the head or fractures

Self-care

Lie on the floor and elevate your limbs to increase circulation to the head.
Do not give food or drink until consciousness is restored.
Relative rest, rest until symptoms subside.