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Fainting may lead to potential life-threatening heart condition

Published on Monday, October 24, 2011

Do you take fainting to heart? The majority of Americans don’t. Although fainting affects an estimated one million people in the United States each year, a national survey released this month by the patient advocacy group STARS (Syncope Trust and Reflex Anoxic Seizures) and supported by Medtronic Inc., shows that one in two Americans are unaware that fainting could be a warning sign for a serious, potentially life-threatening heart condition. 
Most Americans rank dehydration, exhaustion and stress as the leading causes of fainting. But, in many cases fainting is the only sign of an abnormal heart rhythm, which is a leading cause of sudden cardiac arrest – a devastating condition that kills more than 250,000 people each year.
In an effort to educate people about fainting and its link to heart health, STARS and Medtronic collaborated to launch the Take Fainting to Heart campaign to encourage people to take fainting seriously and urge those who have fainted to talk with a doctor to investigate the cause of their fainting episodes.  “STARS is proud to participate in this innovative educational campaign to spotlight the seriousness of fainting and its real health impact," said Trudie Lobban, MBE, Founder and CEO of STARS. “As part of our outreach, new information and interactive resources are available at www.STARS-US.org to help people take fainting to heart. Download The Fainting Checklist to help you and your doctor work towards a correct diagnosis.
Fainting, medically referred to as syncope, is a sudden, temporary loss of consciousness that occurs when there is a lack of blood supply to the brain. It accounts for one to six percent of hospital admissions and approximately one percent of visits to the emergency room per year.
While most causes of fainting are harmless, others may be life threatening if they are caused by an underlying heart rhythm disorder.
According to the survey, even though a majority of Americans (76 percent) have fainted themselves or know someone who has fainted, only 36 percent believe that the issue deserves immediate medical attention. Given this, it is no surprise that many people don't have the faintest idea of what caused them to pass out:
• One-third of Americans did nothing after they fainted
• Less than half reported talking to a physician
• Less than a quarter underwent any kind of medical testing
“Fainting could be a symptom of a more serious issue, and should not be taken lightly,” said Dr. Nicholas Tullo, Cardiac-Electrophysiologist at Consultants in Cardiology in West Orange, New Jersey. 
“Getting to the root cause of an individual's fainting is the first and most important step in ruling out a serious, potentially life-threatening heart condition. Certain advanced diagnostic tests, such as insertable cardiac monitors, can quickly determine whether a person's fainting is due to an underlying heart condition and provide physicians with pertinent information needed to treat the problem.”
To ensure a proper diagnosis and treatment, Take Fainting to Heart aims to empower people who have experienced a fainting episode to take the following steps and find out why:
• Discuss your fainting with a doctor and provide an accurate history of your previous episodes.
• Ask if you should see a heart rhythm specialist, such as a cardiologist or electrophysiologist, for further diagnostic testing. A heart rhythm specialist may prescribe an insertable cardiac monitor (ICM), which records the heart’s activity over long periods of time to help determine whether the fainting is caused by an abnormal heart rhythm.
According to a recent study, patients who had fainted were evaluated by an average of three different specialists and underwent an average of 13 tests without providing a conclusive diagnosis. These findings suggest that an ICM implanted earlier in the evaluation process could result in a more efficient diagnosis.
Forrest Finch, a paramedic in Alton, Ill., experienced a fainting episode while driving an ambulance, which resulted in an accident. “My doctor suspected that the fainting was related to a heart issue and his suspicion was quickly confirmed by an ICM. After being diagnosed, I was placed on a treatment plan that has kept my heart rhythm in check ever since.”
For more information on Take Fainting to Heart, visit www.STARS-US.org to access information and interactive tools, gain insight from medical experts and hear compelling stories about people's personal experiences with fainting.  

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