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syncope is the sudden loss of consciousness with immediate and spontaneous recovery usually within seconds sometimes minutes people may describe syncope in a wide variety of ways such as fainting blacking out falling out having a spell or losing consciousness if loss of consciousness is prolonged or requires electrical cardioversion it is not syncope anymore it can be seizure or other more serious cause the main mechanism of syncope is decreased cerebral perfusion the brain needs a constant supply of glucose through adequate cerebral blood flow to function and any interruption to this even for few seconds can lead to loss of consciousness or syncope syncope is a symptom of an underlying disease process rather than a disease itself although syncope mimics a death-like experience eliciting extreme consternation among both patients and their families most sinkable events have a benign cause broadly causes of syncope can be divided in three categories reflex syncope syncope because of hear