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My vasovagal syncope is triggered by dehydration. The first time maybe 30 years ago in my 50s was when I had norovirus and was throwing up both ends. I stood up in the bathroom to wash my face after throwing up and the next I knew I was on my back in the shower opening which was 90 degrees from where I was at the basin (odd). The next time a few years later again a stomach virus and I went downstairs to the kitchen to get some water and ended up on my back in the dining room. The last time recently I was in the kitchen getting dessert one evening and my husband who wondered why it was taking so long found me flat on my back again. All I can remember is seeing my lunch glass of water still full on the kitchen counter so again dehydration I think. In none of these cases have I had any premonition. This last time because I am now in my 80s I went to the ER and after doing all kinds of tests (scans included) agreed with my diagnosis of a vasovagal syncope.
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An update on my fainting. 15 months after the last faint I referred to above I fainted (onto my back as usual) a month or so ago. It was out of the blue with no premonition on a hot (but not like the current heat wave) day walking to the gym at 9.30am.
Although on a paved surface I was lucky not to have damaged any body parts. I had had tea but was going to get water from the gym so may have been mildly dehydrated as I don’t have a good thirst meter it seems. This time my usually cautious Internist thought that I should have a 14/day cardio patch workup at 83 as he thought it might be afib. I didn’t understand the possible connection and still don’t but bottom line no afib, passed the stress test and echocardiogram showed heart OK but carotids had sone plaque in them, The cardio doc said it was not enough for her to be concerned about. She made a sensible suggestion and that was to take my bp med at night instead of the morning as the “sweet spot” for the med to lower bp might be better at night. Nothing lost by doing that so that is what I did. As to the fainting otherwise she just shrugged and knows that I am being better at hydrating.
So my question to the group and I should have asked her is what heart issues can cause fainting? I haven’t read of any.