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Neurocardiogenic/vasovagal snycope, with Hypoglycemic and Low Blood Pressure?
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Neurocardiogenic/vasovagal snycope, with Hypoglycemic and Low Blood Pressure?

by Ann Landry, Oct 21, 1999 12:00AM
My eighteen year old daughter Shelly has just been dignosed with Neurocardiogenic or vasovagal syncope by a positive tilt table test.  She also had a positive 5 hr. glucose tollerance test that say's she is hypoglycemic and she has a history of Low Blood Pressure.  She is always tired, cold and complains of a tingling in the head when she is in a lying down position.  Upon sitting up she has the black out and by that i mean she loses her vision.

She also has upon standing for a long period of time, her legs and feet will turn purple.  This has been going on for about 2 years and they have done a EEG and it was normal.  All the doctors before would not run test to check for the low blood sugar.  Until recently when they did all of the test within a week of her passing out after a period of standing in a small hospital room with a group of people.  She started to feel clammy, sweaty, lightheaded, and nausea.  She remembers that she felt like she was going to pass out and step out of the room and then woke up to have all the nurses and everyone around her.  She also fainted when they were doing the glucose tollerance test.  Then again with the tilt table test.  The Arrythmia Dr. put her on 50 mg. of Toproal XL once a day, which I understand is a beta blocker.  The infomation I have been reading is that with hypoglycemia that you should not take beta blockers? Also the beta blockers are usually given to people with high blood pressure, if she has low blood pressure what is the complication that this could cause?   Also what does the beta blockers due for the vasovagal syncope?  Would love to hear from anyone who has had this.  I have found some people with one or the other but all three at one time and could it be that one is causing the other to flair up? Also is the tingling in the head normal for any of this?  

Thanks, Ann

by CCF CARDIO MD - CRC, Oct 22, 1999 12:00AM
Beta-blockers along with behavior modification (i.e. sitting down when she feels an episode coming on) are standard treatment for vasovagal (benign) syncope.  There is no contrindication to taking them due to the low blood sugar.  Tingling can be one of the symptoms preceeding syncope.
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