Presyncope
Encyclopedia
Presyncope is a state consisting of lightheadedness
Lightheadedness
Light-headedness is a common and often unpleasant sensation of dizziness and/or feeling that one may be about to faint, which may be transient, recurrent, or occasionally chronic. In some cases, the individual may feel as though his or her head is weightless. The individual may also feel as...

, muscular weakness, and feeling faint (as opposed to a syncope
Syncope (medicine)
Syncope , the medical term for fainting, is precisely defined as a transient loss of consciousness and postural tone characterized by rapid onset, short duration, and spontaneous recovery due to global cerebral hypoperfusion that most often results from hypotension.Many forms of syncope are...

, which is actually fainting). Pre-syncope does not result from primary central nervous system pathology, nor does it originate in the inner ear, but is most often cardiovascular in etiology. In many patients, lightheadedness is a symptom of orthostatic hypotension
Orthostatic hypotension
Orthostatic hypotension, also known as postural hypotension, orthostasis, and colloquially as head rush or dizzy spell, is a form of hypotension in which a person's blood pressure suddenly falls when the person stands up or stretches. The decrease is typically greater than 20/10 mm Hg, and may be...

. Orthostatic hypotension occurs when blood pressure drops significantly when the patient stands from a supine or sitting position. If loss of consciousness occurs in this situation, it is termed syncope.

According to McGraw-Hill Concise Dictionary of Modern Medicine © 2002, presyncope is "An episode of near-fainting which may include lightheadedness, dizziness, severe weakness, blurred vision, which may precede a syncopal episode."
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