What should be done for patients with suspected neurocardiogenic syncope?

For patients with suspected neurocardiogenic syncope, performing a tilt table test is the appropriate course of action. This test assesses the body's response to changes in position, helping to determine if the syncope is related to orthostatic hypotension or other blood pressure regulation issues. Neurocardiogenic syncope is often caused by a reflex mechanism that results in a transient loss of consciousness due to a sudden drop in heart rate and blood pressure, which can often be captured through the tilt table test.

This diagnostic procedure allows for observation of the patient while they are tilted upright, which can provoke the symptoms and help to confirm the diagnosis. Identifying the underlying cause of syncope is crucial for managing the patient effectively and guiding future treatment options.

In contrast, immediate cardiovascular medications are not indicated in these cases due to the nature of the problem, which is typically not a direct cardiovascular issue that warrants acute pharmacological intervention without further investigation. A CT scan of the brain would be more relevant for ruling out structural intracranial abnormalities, but it does not typically address the underlying mechanisms of neurocardiogenic syncope. Similarly, emergency resuscitation is not warranted unless the patient is unstable or shows signs of life-threatening conditions, which is not the typical