Introduction
Vasovagal syncope (VVS) stands as the leading form of reflex syncope and is identified as the most common cause of fainting episodes across diverse age groups. This condition is often triggered by identifiable factors, including extended periods of standing, sudden shifts in posture, certain medications, alcohol intake, and emotional variances. Characteristic symptoms of VVS involve a brief loss of consciousness due to systemic low blood pressure and reduced blood flow to the brain, typically accompanied by related signs such as sweating, nausea, pallor, and other associated effects. This report details a case where syncope was evaluated as VVS, induced by the consumption of chili peppers, and successfully managed through a procedure known as cardioneuroablation.
Case Presentation
The patient in this case was a 60-year-old woman experiencing recurrent episodes of unconsciousness for more than two decades. Identification of triggers such as eating spicy foods, physical exertion during defecation, and general fatigue preceded her episodes. Despite extensive evaluations—comprising electrocardiograms, Holter monitoring, and a head-up tilt test—all results returned normal, indicating no underlying cardiovascular issues.
Upon her admission to the hospital, the patient exhibited a heart rate of 55 beats per minute and a blood pressure reading of 140/90 mmHg. Comprehensive physical examinations and laboratory evaluations revealed no significant abnormalities. The electrocardiogram confirmed the presence of sinus bradycardia. An echocardiogram showed mild aortic valve insufficiency, while the overall structure and function of the heart were deemed normal. A lung CT scan disclosed several micronodules in both lungs, yet no remarkable findings emerged from a craniocerebral CT scan.
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Figure 2 Cardiac ganglia stimulation during the ablation procedure led to cardiac arrest. |
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Figure 3 A diagram displaying the targeted areas for cardioneuroablation. |
Discussion
Ethical Approval and Patient Consent
Author Contributions
Funding
This research was supported by the National Natural Science Foundation of China (No.82160072, No.82360085), the Natural Science Foundation of Hubei Province (No.2023AFD073), and the Science and Technology Support Project funded by the Enshi Prefecture Science and Technology Bureau (No. D20230075, D20230079).
Disclosure
The authors declare that the research was conducted without any commercial or financial relationships that could potentially represent a conflict of interest.
References
1. Li L, Po S, Yao Y. Cardioneuroablation for treating vasovagal syncope: current status and future directions. Arrhythm Electrophysiol Rev. 2023;12:e18. PMID: 37457436; PMCID: PMC10345939. doi:10.15420/aer.2023.02
2. Armani Prata A, Katsuyama E, Scardini P, et al. Cardioneuroablation in patients with vasovagal syncope: an updated systematic review and meta-analysis. Heart Rhythm. 2024;25:S1547–5271(24)03079–0. PMID: 39067734. doi:10.1016/j.hrthm.2024.07.103
3. Amir B, Lanciano SB, Rubinshtein R, Nussinovitch U. Autonomic responses in young females with typical vasovagal syncope. Intern Emerg Med. 2024;19:1345–1351. PMID: 38700783. doi:10.1007/s11739-024-03622-7
4. Kinsella SM, Tuckey JP. Perioperative bradycardia and asystole: relationship to vasovagal syncope and the Bezold-Jarisch reflex. Br J Anaesth. 2001;86(6):859–868. doi:10.1093/bja/86.6.859
5. Alboni P, Alboni M. Typical vasovagal syncope as a “defense mechanism” for the heart by contrasting sympathetic overactivity. Clin Auton Res. 2017;27(4):253–261. PMID: 28669087. doi:10.1007/s10286-017-0446-2
6. Sutton R, de Jong JSY, Stewart JM, Fedorowski A, de Lange FJ. Pacing in vasovagal syncope: physiology, pacemaker sensors, and recent clinical trials-Precise patient selection and measurable benefit. Heart Rhythm. 2020;17(5 Pt A):821–828. PMID: 32036025; PMCID: PMC7196018. doi:10.1016/j.hrthm.2020.01.029
7. Pachon JC, Pachon EI, Pachon JC, et al. “Cardioneuroablation”–new treatment for neurocardiogenic syncope, functional AV block and sinus dysfunction using catheter RF-ablation. Europace. 2005;7(1):1–13. PMID: 15670960. doi:10.1016/j.eupc.2004.10.003
8. Wang X, Luo D, Liu S, et al. Selective ablation of atrial ganglionated plexus attenuates vasovagal reflex in a canine model. Pacing Clin Electrophysiol. 2019;42(1):13–19. PMID: 30426527. doi:10.1111/pace.13547
9. Aksu T, Brignole M, Calo L, et al. Cardioneuroablation for the treatment of reflex syncope and functional bradyarrhythmias: a scientific statement of the European Heart Rhythm Association (EHRA) of the ESC, the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS) and the Latin American Heart Rhythm Society (LAHRS). Europace. 2024;26(8):euae206. PMID: 39082698; PMCID: PMC11350289. doi:10.1093/europace/euae206
What Sets Off a Faint? A Spicey Case of Vasovagal Syncope
Welcome, dear readers! Today, we’re diving into the dizzying world of vasovagal syncope—or as I like to call it, “the fancy way to say I’m queasy because I saw a spider!” That’s right; this medical conundrum can make you feel like Bambi on ice after a tough decision: “Do I eat that extra slice of pizza, or will I face a lifetime of regret?”
Let’s Talk Triggers!
Our article begins by laying out the classic triggers for VVS. Prolonged standing? Check. Sudden position changes? Double check! Pharmacological agents and alcohol? Now we’re playing with fire, aren’t we? But here’s the kicker: spicy food, specifically chili peppers! Yep, that’s right. If you think your life is tough with the occasional Friday night curry, try having your blood pressure drop faster than your hopes of ever becoming a professional dancer after your third glass of wine.
A Case Worth Its Weight in Gold—Peppers and All
So, we meet our 60-year-old heroine—an unstoppable force of nature who has battled faint spells for over 20 years. Now, that’s dedication! But what causes these dizzy spells? First off, we discover that it’s not abnormal heart rhythms or any cardiovascular shenanigans. Nope! She simply enjoys a little culinary adventure, perhaps mistaking her chili pepper for a cherry tomato. Spoiler alert: It’s not! Did someone say, “Faint on arrival?”
Turning Up the Heat—Literally!
Just wait until our patient decides to raise the stakes by consuming chili peppers. What happens? Well, the heart rate plummets, blood pressure mimics a roller coaster, and before you know it, she’s face-first on the floor, seeing stars from her unexpected tango with the vibrant spice. Talk about spicy food taking a turn for the dramatic! The only time I want my heart rate dropping is during a romantic date—not after a fiery meal!
Cardioneuroablation—A Fancy Fix for Fainting Fits
Now, let’s not gloss over the medical wizardry that follows. They’ve got a solution called cardioneuroablation. Sounds like something you might need to clear out your social media friends, doesn’t it? Or maybe that’s just me. Anyway, it’s an intriguing treatment for our spicy syncope saga, and frankly, if the name isn’t intimidating enough, I don’t know what is! But it works! We’ve gone from fainting like a Victorian damsel to stabilizing heart rates quicker than you can say “spicy meatball.”
Final Thoughts—Mostly About How Not to Faint
In conclusion, let’s take a moment to appreciate our lady love who has braved over two decades of headaches, heart rates, and perhaps a few too many doses of hot sauce. Vasovagal syncope can be tricky, and while we all love a good chili pepper, it’s probably best to consume with caution and alongside a supportive friend (who doesn’t mind ice packs and fainting spells). Next time you’re at a barbecue, just remember: “One bean too many” might not just lead to an awkward silence but also to an embarrassing fall!
And with that said, stay safe, my friends! Should you feel faint, just remember—no one ever fainted like a movie star—you’ve got to make it a dramatic exit. Until next time, keep your heart rate steady and your chili peppers mild!
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– How can culinary experimentation lead to unexpected health consequences for some individuals?
T rate to drop is when I’m lounging on the couch—preferably with a bowl of popcorn in hand!
A Chef’s Hat and a Doctor’s Coat
This case reminds us that culinary experimentation can lead to unexpected health consequences, especially for those predisposed to vasovagal syncope. Our heroine’s spicy culinary endeavors highlight the importance of being aware of personal triggers. Who knew a harmless dinner ingredient could lead to a fainting episode worthy of a soap opera plot twist?
Lessons Learned
As we wrap up, it’s crucial to acknowledge that while food should be enjoyed, moderation and knowledge about one’s health condition are key. Understanding what sets off a faint—whether it’s standing too long, sudden movement, or enjoying overly spicy dishes—can help individuals manage their syncope more effectively. If you find yourself fainting more often than you’d like (hopefully not after a spicy meal), it might be time to consult a healthcare professional for a personal and comprehensive assessment.
Final Thoughts
So, dear readers, the next time you sit down to a meal that makes your taste buds dance, remember our brave 60-year-old lady and her spicy misadventures. Let her story be a delicious reminder that enjoying food should never come at the cost of your health. Stay curious, stay safe, and don’t let those chili peppers take you for a spin!