Leading cardiologist in NYC, Dr. Ghalchi of Manhattan Cardiovascular Associates provides an effective diagnosis and treatment for syncopal episodes and it’s underlined symptoms which can include fainting, dizziness and passing out. It’s always best to seek immediate treatment from one of the most experienced cardiologists and best heart doctors in NYC.
Syncope, the clinical term for passing out and dizziness, is a symptom that’s linked to a broad range of diseases and disorders, which can be cardiac, pulmonary or neurologic in nature.
If you’re experiencing syncope or periods of dizziness, see your cardiologist or a heart doctor. He’ll want to sort out where your condition originates so he can arrive at a diagnosis. He’ll likely ask you the following questions:
- Exactly how do you feel during fainting or syncopal episodes?
- Are there any triggers that you’re aware of?
- How long do the fainting episodes last?
- Are there any other details you want to share regarding these vasovagal syncope episodes?
A Plethora of Possibilities
The first NYC heart doctor you see has the challenging job of trying to figure out the root cause of your syncopal episode symptoms. Here is a list of just some of the possible fainting and dizziness causes:
- Arrhythmia is an irregular or abnormal heartbeat. It’s not unusual for this to lead to fainting episodes, dizziness or lightheadedness.
- Cerebrovascular disorder refers to the blood vessels that take oxygen to the brain. When you suffer a stroke, a transient ischemic attack (TIA) or another ischemic episode, you’re classified as having a cerebrovascular disorder. Dizziness and fainting, while not a regular symptom, is not unusual in any of these cases.
- Neurologic diseases are classified as any diseases that have to do with the brain and central nervous system. There are more than 600 diseases that fall under this heading, including multiple sclerosis, Parkinson’s, epilepsy and brain aneurysms. These diseases often cause sufferers to be unsteady on their feet, resulting in bouts of vasovagal syncope, dizziness and vertigo.
- Valvular disease results in heart valves that are damaged or defective. This causes the heart to be an inefficient pump, leading to insufficient oxygen in the blood stream resulting in vasovagal syncope.
- Hypertrophic cardiomyopathy occurs when the heart walls thicken and inhibit the heart’s ability to beat normally. This condition predisposes patients to arrhythmias, as well as thickening of the heart muscle, which can reduce blood flow and oxygen to the brain, causing dizziness and fainting.
- Orthostatic hypotension is low blood pressure. When blood pressure is abnormally low, you can expect to be dizzy, lightheaded or sleepy. You may even faint or pass out.
- Vasovagal syncope is when your blood pressure and heart rate drop concurrently and abruptly, causing fainting, dizziness and a sudden loss of consciousness.
- Vertigo can be diagnosed as a stand-alone condition or as a symptom of another issue. People with vertigo describe sensations of spinning, moving when they are still, the room tilting or a sensation of falling when standing. It’s not unusual for those experiencing vertigo to actually lose their balance. Sometimes, vertigo is caused by something benign, such as standing up too quickly, low blood pressure or dehydration. If it’s accompanied by a headache, especially if it’s severe or sudden, it can be a sign of something more serious. If it’s accompanied by vomiting, slurring, loss of balance, chest pains, arrhythmia, trouble breathing, a high fever or a stiff neck, there is definitely cause for concern. If you’ve had a head injury and are now experiencing vertigo-like symptoms, see a heart doctor immediately. Do not forget only a qualified cardiovascular doctor can provide an accurate diagnosis.
- Issues with your inner ear, including an ear infection that can cause temporary vertigo or inner ear dysfunction, which can be congenital or from an injury.
Only an experienced heart doctor or a top cardiologist in NYC can tell you for certain if fainting, dizziness or syncopal episodes that you have require medical treatment.
Narrowing the Possibilities
To narrow the possibilities, New York cardiologist Dr. Ghalchi or your heart doctor will likely request one or more of the following non-invasive, pain-free tests:
- Electrocardiogram is a test that monitors the electrical impulses of your heart. This allows the heart doctor to look for patterns in those impulses, providing cardiovascular doctor with information on how your heart is functioning. Sometimes referred to as an EKG or an ECG, this test is a common first test.
- Heart monitor, one type of which is a Holter Monitor, is a portable device that monitors your heart. It’s small enough to carry it with you at all times. It monitors your heart for a period of time, most often 24 to 48 hours. The results give the heart or cardiovascular doctor a clear picture of your heart, along with the ability to see patterns in the heart’s function as you changed activities throughout the day.
- Carotid doppler is an ultrasound that detects narrowed and clogged carotid arteries, usually resulting from a buildup of plaque and other substances — such as fat, cholesterol or calcium — that are in your bloodstream. This test has many uses, but in this case, your heart doctor’s looking for anything that might disrupt the flow of blood to your heart and brain.
- Echocardiogram is another non-invasive test that uses sound waves to map the heart. The images produced allow your NYC cardiologist to see the chambers of the heart, as well as the size, shape, and function of the heart. This test is sometimes referred to as an “Echo.”
- Ambulatory blood pressure monitor is another portable device that you wear, usually for 24 hours, including while sleeping. It takes your blood pressure at regular intervals, typically every 20–30 minutes.
When you’re experiencing dizziness or syncope, the most important thing is to collect as much information as you can before, during and after your syncopal episodes. Because there are so many possibilities, every bit of information can help cardiologist to identify the source of the problem. To get the process started and to put you on the road to recovery, schedule a checkup with one of the best cardiologists in NYC, Dr. Ghalchi of Manhattan Cardiovascular Associates.
Dr. Michael Ghalchi, Cardiologist (Cardiologist NYC, Midtown)
New York, NY10010
(Between Madison Ave & Park Ave)
☎ (212) 686-0066