{"id":532,"date":"2023-07-20T16:43:54","date_gmt":"2023-07-20T19:43:54","guid":{"rendered":"https:\/\/danielrabischoffsky.com\/?p=532"},"modified":"2023-07-20T17:46:07","modified_gmt":"2023-07-20T20:46:07","slug":"sincope-ou-desmaio","status":"publish","type":"post","link":"https:\/\/danielrabischoffsky.com\/?p=532","title":{"rendered":"Sincope ou Desmaio\u00a0"},"content":{"rendered":"\n<p>S\u00edncope \u00e9 a perda s\u00fabita da consci\u00eancia e do t\u00f4nus postural que ocorre devido \u00e0 redu\u00e7\u00e3o do fluxo de sangue para o c\u00e9rebro, levando \u00e0 queda s\u00fabita da pr\u00f3pria altura. \u00c9 comumente precedido por vis\u00e3o turva, tonteira, pulso fraco e respira\u00e7\u00e3o superficial.&nbsp;<\/p>\n\n\n\n<p><strong>Na maioria dos casos a recupera\u00e7\u00e3o do sentidos \u00e9 r\u00e1pida e espont\u00e2nea e a causa benigna, por\u00e9m a investiga\u00e7\u00e3o \u00e9 mandat\u00f3ria pois em alguns casos doen\u00e7as do musculo card\u00edaco ou do sistema el\u00e9trico do cora\u00e7\u00e3o est\u00e3o por tr\u00e1s desses eventos.&nbsp;<\/strong>&nbsp;<\/p>\n\n\n\n<p>Causas benignas:&nbsp;<\/p>\n\n\n\n<p>Desmaio ou S\u00edncope reflexa, ou neuromediada:&nbsp;<\/p>\n\n\n\n<p>Vasovagal\u202f(mediada por estresse emocional ou tempo prolongado em p\u00e9);&nbsp;<\/p>\n\n\n\n<p>Situacional\u202f(tosse\/espirro, est\u00edmulo gastrointestinal, p\u00f3s-mic\u00e7\u00e3o, p\u00f3s-exerc\u00edcio e p\u00f3s-prandial);&nbsp;<\/p>\n\n\n\n<p>Hipersensibilidade do seio carot\u00eddeo\u202f(est\u00edmulo do pesco\u00e7o);&nbsp;<\/p>\n\n\n\n<p>\u202f&nbsp;<\/p>\n\n\n\n<p>Desmaio\/S\u00edncope devido \u00e0 hipotens\u00e3o ortost\u00e1tica&nbsp;<\/p>\n\n\n\n<p>Disfun\u00e7\u00e3o auton\u00f4mica prim\u00e1ria;&nbsp;<\/p>\n\n\n\n<p>Disfun\u00e7\u00e3o auton\u00f4mica secund\u00e1ria;&nbsp;<\/p>\n\n\n\n<p>Induzida por drogas\u202f(\u00e1lcool, vasodilatadores, diur\u00e9ticos e antidepressivos);&nbsp;<\/p>\n\n\n\n<p>Hipovolemia \/ desidrata\u00e7\u00e3o.&nbsp;<\/p>\n\n\n\n<p>Causas malignas:&nbsp;<\/p>\n\n\n\n<p>Desmaio \u2013 S\u00edncope cardiovascular&nbsp;<\/p>\n\n\n\n<p>Arritmias&nbsp; (bradicardias, taquicardias e outras, provocadas por drogas);&nbsp;<\/p>\n\n\n\n<p>Doen\u00e7as estruturais cardiacas\u202f(valvopatias, infarto do mioc\u00e1rdio, isquemia, cardiomiopatia hipertr\u00f3fica, massas e tumores, doen\u00e7as do peric\u00e1rdio, anomalias cong\u00eanitas nas coron\u00e1rias e disfun\u00e7\u00e3o de pr\u00f3teses valvares);&nbsp;<\/p>\n\n\n\n<p>S\u00edndromes obstrutivas\u202f(Embolia pulmonar, dissec\u00e7\u00e3o aguda da aorta e hipertens\u00e3o pulmonar).&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>S\u00edncope \u00e9 a perda s\u00fabita da consci\u00eancia e do t\u00f4nus postural que ocorre devido \u00e0 redu\u00e7\u00e3o do fluxo de sangue para o c\u00e9rebro, levando \u00e0 queda s\u00fabita da pr\u00f3pria altura&#8230;<\/p>\n","protected":false},"author":2,"featured_media":590,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"categories":[5],"tags":[],"class_list":["post-532","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/danielrabischoffsky.com\/index.php?rest_route=\/wp\/v2\/posts\/532","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/danielrabischoffsky.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/danielrabischoffsky.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/danielrabischoffsky.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/danielrabischoffsky.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=532"}],"version-history":[{"count":3,"href":"https:\/\/danielrabischoffsky.com\/index.php?rest_route=\/wp\/v2\/posts\/532\/revisions"}],"predecessor-version":[{"id":582,"href":"https:\/\/danielrabischoffsky.com\/index.php?rest_route=\/wp\/v2\/posts\/532\/revisions\/582"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/danielrabischoffsky.com\/index.php?rest_route=\/wp\/v2\/media\/590"}],"wp:attachment":[{"href":"https:\/\/danielrabischoffsky.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=532"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/danielrabischoffsky.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=532"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/danielrabischoffsky.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=532"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}