lmt033167 Posted June 20, 2011 Report Share Posted June 20, 2011 For a dx of NCS (Neurocardiogenic Syncope) are there the same parameters with other ANS issues such as an excessive rise or fall as in bp/hr with PoTS and OI? If so, is it? >30 points like with PoTs? <20points like with OI? Also, for proper diagnosis, does that include when there is minimal increase/decrease during the 20 min standing time or does that include when they give the med like Nitro to increase symptoms? Here's my TTT results; which I've questioned -BP 126/79 HR 77 - Start BP 129/87 HR 101 - 20 min BP 137/71 HR 109 Nitroglycerin given - By minute #4 after Nitro was given, the patient had a syncopal event with no palpable pulse BP 97/48 HR 78 - supine stateFindings: Profound Sinus Bradycardia; Classic symptoms of neurocardiogenic syncope with cardioinhibitory and vasodepressor responses (NCS & OI) My questions are related to why I was dx with NCS when my bp stayed the same during the 20 minutes, but I wasn't dx with PoTS even though my HR went up 32 pts because there are different reasons for syncope. I've suspected I had HOCM (obstructive HCM) which I finally found out yes I was dx with this back in August 2009 and just wasn't told. Patients with HCM/HOCM would react this way to Nitro and that would be an expected outcome; however my dr's said they had no clue why I reacted the way I did but that was days before I had a cardiac cath that dx the HOCM.I called Mayo Clinic here in Fl to see one of the heart specialists so I can get a 2nd opinion, what questions should I ask about NCS/OI so I can make sure to ask when I go. Quote Link to comment Share on other sites More sharing options...
Join the conversation
You can post now and register later. If you have an account, sign in now to post with your account.