Othostatic Intolerance and Syncope

Neurally Mediated Hypotension and its Treatment


What is neurally mediated hypotension?

Neurally mediated hypotension is also known by the following names: the fainting reflex, neurocardiogenic syncope, vasodepressor syncope, the vaso-vagal reflex, and autonomic dysfunction. Hypotension is the formal medical term for low blood pressure, and syncope is the term for fainting. Neurally mediated hypotension occurs when there is an abnormal reflex interaction between the heart and the brain, both of which usually are structurally normal.

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Insurance Issues

At The Heartbeat Clinic, your health is of prime importance. We believe in the philosophy of taking care of patients irrespective of insurance issues. We have following policies in place

1. If you do not have insurance we will be glad to take care of you. The clinic has many plans in place to help uninsured and underinsured including free charity services.

2. If you have a pacemaker or defibrillator that was implanted at the heartbeat clinic, and you lose your insurance we will still continue to follow our devices.

3. Our clinic has the ability to do 80 % of investigations as outpatient and those facilities are available to anyone.

4. We do not control the hospital charges and those charges will be patient responsibility.

The NDRF Handbook

The National dysoutonomia research foundation (NDRF) has published a handbook for people with dysautonomias.  This book provides an invaluable source of information for many patients suffering from dysautonomias.  Please click the link below to access the book.  You can request video cassettes from our office.


Atrial Fibrillation

Atrial fibrillation is the most common arrhythmia. The chances of developing atrial fibrillation increase as a person ages; more than two million Americans have it. Less than one in every 100 people in their 50s has atrial fibrillation, but about 10 in every 100 people in their 80s have it.

Atrial fibrillation is a form of supraventricular tachycardia, in which the heart’s two upper chambers (atria) beat chaotically (fibrillate). They also do not beat in coordination with the two lower chambers of the heart (ventricles). The result is an irregular and often rapid heart rate.

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