Can flying cause vasovagal syncope?


Can flying cause vasovagal syncope? The most common pathophysiology underlying in-flight syncope events remains orthostatic vasovagal hypotension also known as postural hypotension. It is especially pronounced with underlying autonomic dysfunction like in diabetes, alcoholism, and in the setting of beta-blocker and benzodiazepine usage.


Is fainting a fight or flight response?

Fainting is most likely to occur in people who have low blood pressure, or who respond to stress with major reductions in blood pressure. As we know, the fight-or-flight response increases heart rate and blood pressure. This is why fainting is extremely rare during fight-or-flight.


Is fainting on a plane common?

One flight attendant, an RN, confirmed that fainting is very common. “It occurs when you have been sitting for a long period, and your blood concentrates in the lower extremities,” she wrote. “You start to feel dizzy and nauseous, so you try to head for the lav.


What to do if someone faints in flight?

What to do
  1. Advise them to lie down.
  2. If possible, elevate their legs slightly using a stool, cushions or pillows. ...
  3. Reassure them and help them to sit up slowly over a few minutes, when they feel better.
  4. If they stay unresponsive, open their airway, check their breathing and prepare to treat someone who is unresponsive.


Why do I get dizzy when I fly?

Flying does two things that are relevant to dizziness-- it may induce motion sickness, and it may stimulate the ear through pressure changes. There is a small literature about alternobaric vertigo. In small planes, dizziness may come from either or both mechanisms.


How do you control blood pressure on a plane?

If you have high blood pressure or heart problems, you should not take decongestants without approval of your healthcare provider. Swallow often and chew gum during the flight, particularly during take-off and as the plane reduces altitude prior to landing. Drink plenty of fluids.


Should I take blood pressure medication before flying?

There isn't any legally imposed limit as far as we're aware, but a high blood pressure must be controlled with medication before you travel for your safety.


How do you prevent syncope on a plane?

Here are some other tips to keep from fainting on planes: Stay well hydrated before and during the flight. Avoid caffeinated drinks and alcohol. Sit in an aisle seat whenever possible. Stand periodically, walk a few paces in the aisle, and stretch your legs and feet.


What heart condition prevents you from flying?

Patients with severe or decompensated congestive heart failure (symptoms occur even when resting/any physical activity increases discomfort) should avoid flying. If travel cannot be avoided, on-board oxygen and medical assistance should be requested.


What blood pressure is too high for flying?

If your blood pressure is higher than 120 over 80, seek medical advice before you travel.


Who should not fly?

recent operation or injury where trapped air or gas may be present in the body (e.g. stomach ,bowel, eyes, face, brain) severe long term diseases that affect your breathing. breathlessness at rest. unresolved pneumothorax (punctured lung)