About syncope in elderly people with high blood pressure, i.e. sudden fainting. The concept of syncope is a sudden loss of consciousness that returns after a few minutes, but it is not known what the condition is the reason for the fainting. This can happen for several reasons, such as the presence of a TIA episode, which is a transient ischemic attack. In addition, we should pay attention to the heart rate. For patients with bradycardia, i.e., a heart rate of <60 beats, the presence of syncope in this case should be noted as a result of a slower heart rate causing A-Syndrome, and it is recommended to come to the hospital in a timely manner to clarify which cause is causing the syncope. Of course, there are also some patients who go to urinate in the morning and suddenly faint, which is related to nerve reflexes. So there are many causes of syncope in elderly people with high blood pressure, and it is important to go to the hospital for systematic examination and treatment in time.