Question

A 54-year-old patient who has no structural heart disease has an episode of syncope. An upright tilt table test is performed to rule out neurocardiogenic syncope. The nurse explains to the patient that if neurocardiogenic syncope is the problem, the patient will experience what? a. No change in HR or BP b. Palpitations and dizziness c. Tachydysrhythmias and chest pain d. Marked bradycardia and hypotension

   A 54-year-old patient who has no structural heart disease has an episode of syncope. An upright tilt table test is performed to rule out neurocardiogenic syncope. The nurse explains to the patient that if neurocardiogenic syncope is the problem, the patient will experience what?
a. No change in HR or BP
b. Palpitations and dizziness
c. Tachydysrhythmias and chest pain
d. Marked bradycardia and hypotension

Study Guide for Medical-Surgical Nursing: Assessment and Management of Clinical Problems

Sharon L. Lewis RN… 9th Edition

Chapter 36, Problem 27

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It occurs when there is a sudden drop in blood pressure and heart rate, leading to a temporary loss of consciousness. Now let's analyze the options: a. No change in HR or BP - This option is incorrect because neurocardiogenic syncope is characterized by a drop Show more…

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A 54-year-old patient who has no structural heart disease has an episode of syncope. An upright tilt table test is performed to rule out neurocardiogenic syncope. The nurse explains to the patient that if neurocardiogenic syncope is the problem, the patient will experience what? a. No change in HR or BP b. Palpitations and dizziness c. Tachydysrhythmias and chest pain d. Marked bradycardia and hypotension

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Key Concepts

Tilt Table Testing

This diagnostic test is employed to evaluate patients with unexplained syncope by simulating the conditions of standing. The procedure helps in reproducing the autonomic response seen in neurocardiogenic syncope, specifically the pronounced drop in heart rate and blood pressure that ultimately causes syncope.

Neurocardiogenic Syncope

Also known as vasovagal syncope, this condition is characterized by an inappropriate reflex response that causes sudden bradycardia and hypotension, leading to fainting. The response is often triggered by prolonged standing or emotional stress and results from abnormal regulation of the autonomic nervous system.

Autonomic Nervous System

This system controls involuntary bodily functions, including heart rate and blood pressure. In neurocardiogenic syncope, a dysfunction in autonomic control leads to a sharp decrease in heart rate and blood pressure, which is responsible for the symptoms experienced during an episode.

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