Hi all, new to the site and wanted anyone else’s opinion on my situation. Let me know what you think.
31y/o male, serving 13yrs active duty in the USAF. Was in good physical condition when all this began ~3 years ago. I had several episodes spaced apart by months/weeks of passing out. They were while standing, cycling, exercising, climbing stairs, urinating even prolonged sitting. Many tests were run ranging from a dozen EKG’s to EEGs, ECG’s to stress tests, all returned normal. Finally a cardiologist diagnosed vasovagal syncope. More recently I saw a doctor at Stanford and performed the tilt table test and a few others. His words on paper “your primary diagnosis is vasovagal syncope with mildly exaggerated postural tachycardia”. I know what vasovagal syncope is and I’ve read up on POTS, my questions are: Why is the primary diagnosis vasovagal as opposed to POTS? Additionally, what does the “mildly exaggerated” before POTS mean?
130+ bpm while standing for ~10min. Blood pressure remains fairly steady.
Experience blurred vision and distorted hearing during the increased heart rate.
Experience migraines associated with prolonged physical activity, usually begins within 1hr of activity. These migraines pass after a couple of hours of rest, lying down or at least reclined with legs elevated.
Fatigue sets in rapidly during exercise.
Blotchy skin in extremities, nails will often appear purple when skin has this effect.
Hands and feet also get very cold at times despite feeling comfortable otherwise.
Pretty constant lightheaded feelings throughout the day.