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Wednesday, April 08, 2009 Natalie asks

Q: Can you have a vasovagal attack while sitting, or would this be an anxiety attack?

Hello, a few years ago, I was diagnosed with vasovagal depressor syncope.  I had a positive tilt table test and was put on an antidepressant.  I stopped the use of the antidepressant about a year afterwards.  I have not had a single episode for about 3 years. 

 

The other day I was at work, and all day I felt nauseated and had a touch of dihareha.  I sat the whole day at work and went home a half hour early because I did not feel well.  While driving home, I suddenly became very light headed and thought that I was going to pass out.  Paniced, I pulled over and laid down in the back seat of my car and called my husband.  I could not lift my arms or legs at all.  My heart was racing as fast as it would go, and I thought that I was going to pass out and die. 

 

My husband then took me to the ER where after about 6 hours and many tests, the doctor said that nothing was wrong with me.  My heartrate would be 60 lying down, 80 sitting, and about 112 standing but my blood pressure would stay the same.  I still felt very weak and nauseated and felt like I was going to pass out and die.  They sent me home with some medication to make me sleep. 

 

Today, I still feel nauesated and my intestines feel like they are in a knot.  I am freaking out that at any moment I'm going to pass out and die like I did before.  I don't know what happened to me or what to do about it.  I'm scared.

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Answers (4)
Eileen Bailey, Health Guide
4/ 9/09 1:24pm

Natalie

 

Thank you for your question and welcome to AnxietyConnection.com.

 

First, I would recommend you follow up with your family physician and discuss the symptoms you had the other day. Let him or her know that you are still not feeling well.

 

A vasovagal attack can occur while sitting, although most times it does happen while standing or when someone gets up too quickly from sitting or lying down.

 

It is impossible for me to say whether your symptoms are a result of anxiety or an anxiety attack. This would be best determined by your physician.

 

Please let me know what happens at your doctor.

 

Eileen

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8/29/09 3:34pm

I was addmitted into hosptial on thursday and diagnosis with Vasovagal episode what is this ? This was my first attack ? I have a nasty fall on Wednesday Night at ?

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4/27/10 8:41pm

Natalie,

 

IN my experience there is a fine line between vasovagal and panic attacks - the two can easily feed into each other but what you describe sounds more like a panic attack.  I have found the opinion of the medical profession on this to be that they are two separate conditions but I experience links between the two.  As I said to my psychiatrist about a decade ago when he asked me "You can tell the difference between a panic attack and vasovagal can't you?" I said "Not when I'm having a panic attack I can't!"  The actual fact is that I can to a degree.  I have learnt to let my panic attacks pass by letting them go and not indulging them and they are very rare and short term in recent years - although I have still had a couple of vasovagal episodes associated with injury and the fact is that if I am able to relax and not feed into the panic - in the same way that I do with a panic attack - I am sometimes able to avert seizures and have been able to do this at different times throughout my life - even before I was diagnosed with panic disorder and learnt how to deal with it directly.

 

This is a very basic outline of my story:

 

http://blogs.myspace.com/index.cfm?fuseaction=blog.view&friendId=238125966&blogId=500354928

 

These are the most helpful books I have read on panic disorder.  They literally saved my life:

 

http://bevaisbett.customer.netspace.net.au/books.htm

 

I am still waiting for an equally helpful book on vasovagal and dysautonomia - perhaps I will have to write it!

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12/ 4/11 11:38pm

Yes!  I was having dinner with family and had a vasovagal attack.   In the past these attacks would be triggered by some type of trauma.  This attack was new to me because it was the other sets of symptoms that brought this on.  Now I have a fear of eating in restaurants, feeling like its going to hit me again.  I don't know if its a panic/anxiety attack or a vasovagal attack.  Scary!!!!

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By Natalie— Last Modified: 12/04/11, First Published: 04/08/09