Syncope pp 153-177 | Cite as

Reflex Syncope (Neurally Mediated Syncope)

  • Michele BrignoleEmail author
  • David G. Benditt


Reflex syncope (synonym: neurally mediated [reflex] syncope) refers to a reflex response that, when triggered, gives rise to vaso-/venodilatation and/or bradycardia; however, the contribution of each of these two factors to systemic hypotension and cerebral hypoperfusion may differ considerably among affected individuals and may even differ in the same patient at different times. Since all forms of reflex syncope share essentially the same basic pathophysiology (i.e., they basically represent the same disorder as best as we currently understand), the apparent clinical differences only reflect primarily which specific trigger elicits the reflex.


Carotid Sinus Structural Heart Disease Prodromal Symptom Cardiac Pace Vasovagal Syncope 
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Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  1. 1.Dipartimento di Cardiologia, Centro AritmologicoOspedali del TigullioLavagnaItaly
  2. 2.Cardiac Arrhythmia CenterMedical School, University of MinnesotaMinneapolisUSA

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