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Here is a quick mnemonic “ORTHOSTATIC to remember about Features of Neurally Mediated Syncope

This can be valuable for patients as well as medical doctors, nurses & students doing their clinical rounds. You can also find it very useful for med exams like USMLE, NEET PG, FMGE, NExT & NCLEX exams

Features of Neurally Mediated Syncope : How To Remember Easily ?

  • O – Open eyes with upward deviation during the syncopal event.
  • R – Roving eye movements may occur.
  • T – Typically arrhythmic and multifocal proximal and distal myoclonus.
  • H – Hyperventilation as a premonitory feature of autonomic activation.
  • O – Other symptoms include dizziness, lightheadedness, and fatigue.
  • S – Symptoms of orthostatic intolerance such as dizziness and lightheadedness.
  • T – The presence of diaphoresis, pallor, palpitations, nausea, and yawning.
  • A – Autonomic activation as a premonitory feature of neurally mediated syncope.
  • T – The possibility of a seizure due to myoclonus during the syncopal event.
  • I – Incidence of syncope higher in first-degree relatives of fainters.
  • C – Confusion after the syncopal event is rare but may occur.


Dr. Arin Nandi

Passionate About Medical Science & Helping Future Doctors Achieve Top Ranks In Medical Exams. He is professionally a dentist as well as a public health expert from JIPMER (1), (2)working in health department