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PATIENT EDUCATION · FAINTING & NEAR FAINTING

Fainting and near fainting

Understand fainting and near fainting, possible causes, warning signs, evaluation, and treatment.

Section 5 of 6 · Treatment

← Fainting and near fainting: the short explanation
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All 6 sections, including text and pictures · 16 pages

What should I do now?

Call 911

Call 911 for new or unexplained chest pressure that persists or returns, severe trouble breathing, collapse without normal recovery, or sudden face/arm weakness or trouble speaking. Do not drive yourself.

Contact your care team

Unexplained fainting needs assessment. Fainting during exercise, with chest symptoms, or with known heart disease can require urgent care.

Keep your care plan

Follow the safety and driving plan from your care team; record a witness account when available.

SECTION 5

How is fainting treated?

Treatment addresses the cause. A reflex or positional cause may improve with recognizing triggers, position changes, and a personalized fluid or medication plan.

If a slow rhythm or heart block is responsible, a pacemaker may be appropriate. A dangerous fast rhythm may require different treatment. A pacemaker does not treat every cause of fainting.

Dual-chamber pacemaker with a generator in the left upper chest and leads to the right atrium and right ventricle.
A pacemaker can prevent certain slow heart rhythms. It is used when the findings support that treatment.
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Do not increase salt or fluid intake on your own if you have heart failure or kidney disease. Your clinician should also discuss driving and activity safety.

Sources & further readingAmerican Heart Association: FaintingMayo Clinic: Vasovagal reflexMayo Clinic: Blood pressure changes on standingMedlinePlus: Fainting

Updated October 2026. Educational information; your own care plan may differ. Medical illustrations are simplified examples for teaching.