Autonomic decompensation syndrome

Hello,

I have been diagnosed with Neurocardiogenic syncope secondary to an autonomic decompensation syndrome.

I fully understand the term, neurocardiogenic syncope(NCS). Would like your help in understanding the term: Autonomic decompensation syndrome.

I have had NCS for over 3yrs. Does the above mean that my primary Dx is autonomic decompensation syndrome and secondary DX is NCS?

When I have an episode I lose my BP first, then my HR follows. My Episodes are not position related. The episode is quickly resolved with my BP & HR going back to normal. I have tried various meds. for this condition, including Proamatine. THe meds. that have been the most effective for me are, Paxil and Wellbutrin....I take both. I am a well documented case for NCS.

If you could please explain the autonomic decompensation syndrome, I would be most grateful....

If you have the time to answer another question......would a pacemaker help me, knowing that I lose my BP first during an episode?

Thanks so much,
Speck

[CCF-M.D.-CRC]

Dear Speck,
Heart rate and blood pressure are controlled by the autonomic nervous system (the part of the brain that works automatically also called the ANS).  If there is a problem in any area of the ANS there can be subsequent problems in heart rate and blood pressure.  There are many different types of things that can cause vasovagal syncope (VVS) and disorders of the ANS is one of them.  You can find more information concerning ANS diseases at ndrf.org.

Concerning the pacemaker there may be some benefit if all medical therapy has failed but this works best in individuals with only a heart rate drop and not a blood pressure drop. In your case if the medications are working then I would stay with that.

[jan]

Speck, You can go to this site (a forum +) to gather information about autonomic dysfunction :

http://216.149.163.247/cgi-bin/forumdisplay.cgi?action=topics&forum=NDRF+General+Discussion&number=1&DaysPrune=20&LastLogin=