“…A plausible explanation is that the majority were subsequently diagnosed with cardiac/cardio inhibitory syncopes, which are typically characterized by the suddenness of onset and a lack of warning signs [17]. In such cases, cerebral hypoperfusion and anoxia are abrupt, which in the past were termed Sto-kesÀAdams attacks [18,19]. Conversely, symptoms and signs highly characteristic of vasovagal syncope such as dizziness, diaphoresis, nausea, weakness, visual impairment, especially after prolonged periods of standing [11,[17][18][19], were usually lacking in our series.…”