Attack, vasovagal

A reflex of the involuntary nervous system that causes the heart to slow down (bradycardia) and that, at the same time, affects the nerves to the blood vessels in the legs permitting those vessels to dilate (widen). As a result the heart puts out less blood, the blood pressure drops, and what blood is circulating tends to go into the legs rather than to the head. The brain is deprived of oxygen and the fainting episode occurs. The vasovagal reaction is also called a vasovagal attack. The resultant fainting is synonymous with situational syncope, vasovagal syncope, vasodepressor syncope, and Gower syndrome which is named for Sir William Richard Gower (1845-1915), a famous English neurologist. 

Partial or complete loss of consciousness with interruption of awareness of oneself and one’s surroundings. When the loss of consciousness is temporary and there is spontaneous recovery, it is referred to as syncope or, in nonmedical quarters, fainting. Syncope is due to a temporary reduction in blood flow and therefore a shortage of oxygen to the brain. This leads to lightheadedness or a “black out” episode, a loss of consciousness. Temporary impairment of the blood supply to the brain can be caused by heart conditions and by conditions that do not directly involve the heart.


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