Treatment of Neurally Mediated Syncope Mnemonic

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Here is a quick mnemonic “MEDIATED SYNCOPE“ to remember about Treatment 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

Treatment of Neurally Mediated Syncope : How To Remember Easily ?

  • M – Maintaining pressure in the autoregulatory zone with maneuvers
  • E – Education about neurally mediated syncope
  • D – Delaying the onset of syncope with counterpressure maneuvers
  • I – Increasing central blood volume and cardiac output
  • A – Avoidance of provocative stimuli
  • T – Treating refractory patients with fludrocortisone, vasoconstricting agents, and β-adrenoreceptor antagonists
  • E – Evidence for pharmacotherapy is inconsistent
  • D – Dominant pathophysiologic mechanisms involve vasodilation and decreased blood volume
  • S – Systematic review does not support routine cardiac pacing
  • Y – Younger patients without specific criteria may not benefit from pacemakers
  • N – No consistent evidence for any specific pharmacotherapy
  • C – Carotid sinus syndrome patients may benefit from dual-chamber pacing
  • O – Older patients with specific criteria may benefit from cardiac pacing
  • P – Plasma volume expansion with fluid and salt is important in management
  • E – Experts widely use fludrocortisone, vasoconstricting agents, and β-adrenoreceptor antagonists

Mnemonic : MEDIATED SYNCOPE

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 working in govt.health department
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