Patient: The patient was emotionally agitated, withdrawn, and under constant family pressure. Recently, she would faint whenever her mood fluctuated, and the duration was roughly around 2 hours, but during the coma, any vital signs were normal, and she reacted to some of his more sensitive words and would keep weeping, but she just couldn’t wake up. The patient had little sleep and felt a little depressed in the near future. The patient was stubborn and did not cooperate to go to the hospital. Only once she was sent to the hospital in a coma, her blood pressure and ECG were normal and she did not receive any medication. The doctor suggested to go to the cardiology department for examination and tilt test during the emergency, but the patient did not cooperate after waking up. I hope you, Dr. Wang, can make a general judgment on my above symptoms or have a position on her symptoms and whether her current situation will be dangerous. Is it necessary to do the so-called tilt experiment? Is this symptom of his a precursor of epilepsy or other diseases? Doctor’s reply: Is it possible that the patient has recovered when the electrocardiogram is done? For this disease, in principle, cardiovascular neurological diseases should be excluded first (because these two diseases are fatal. If the electrocardiogram and blood pressure are normal at the time of the attack, heart disease can be ruled out (if necessary, perform ambulatory electrocardiogram and plate test), transient ischemic attack can also appear loss of consciousness, except for neurological examination, if it is possible to go out, go to the upright tilt test to determine whether there is vasovagal syncope. It is best to go to a major hospital for a comprehensive examination. Patient: At the time of the ECG, the patient was still in a coma and did not recover in any way. However, the ECG and blood pressure were basically normal. She did not show any signs of waking up, but would keep weeping at some words that she had more sensitive nerves, as if she could understand them. Thank you very much for giving me some advice in your busy schedule. I will try my best to convince the patient to have a thorough examination, and I hope you will have good health, happiness and peace!