SlideShare ist ein Scribd-Unternehmen logo
1 von 6
VASO VAGAL
SYNCOPE
Dr jignesh vora
intro
 common cause of fainting
 vagus N. is overstimulated & dilates blood
vessels and < HR (antiadreanaline effect)
 so heart can't supply blood to brain
 balance between adrenaline and Ach is
disrupted
what is fainting?
 brief loss of consciousness
 < cardiac o/p
 < HR
 hypotention
 brain ischemia
Causes
 sight of blood
 standing for long time
 heat exposure
 straining @ bowel movement
 vigorous exercise
 due to beta blockers, anti depressant
Tests
 ECG
 TMT
 postural hypotention
Rx
 avoid triggers
 low head position
 due
 adequate hydration

Weitere ähnliche Inhalte

Was ist angesagt?

Congestive heart failure
Congestive heart failureCongestive heart failure
Congestive heart failurenamutyabanajiba
 
Ventricular dysrhythmias
Ventricular dysrhythmiasVentricular dysrhythmias
Ventricular dysrhythmiasdjorgenmorris
 
Cardiac arrhythmias
Cardiac arrhythmias Cardiac arrhythmias
Cardiac arrhythmias SARIKA M L
 
Heart failure (3)
Heart failure (3)Heart failure (3)
Heart failure (3)MedicinaIngles
 
Arrhythmia for undergraduates
Arrhythmia for undergraduatesArrhythmia for undergraduates
Arrhythmia for undergraduatesMashiul Alam
 
Mnemonics for medicine &amp; surgery
Mnemonics for medicine &amp; surgeryMnemonics for medicine &amp; surgery
Mnemonics for medicine &amp; surgerysara gonzalez meneses
 
Congestive heart failure basics
Congestive heart failure basicsCongestive heart failure basics
Congestive heart failure basicsabualbd
 
Cardiac Dysrhythmias.
Cardiac Dysrhythmias.Cardiac Dysrhythmias.
Cardiac Dysrhythmias.Shaikhani.
 
Cerebrovascular disorders
Cerebrovascular disordersCerebrovascular disorders
Cerebrovascular disordersPuneet Shukla
 
Assessment of cardiovascular function
Assessment of cardiovascular functionAssessment of cardiovascular function
Assessment of cardiovascular functionpune2013
 
Palpitation
PalpitationPalpitation
Palpitationfarranajwa
 
Dysrhythmias
DysrhythmiasDysrhythmias
DysrhythmiasNeelu Aryal
 
PREVIEW OF EMT/EMR CARDIOVASCULAR EMERGENCIES LESsON
PREVIEW OF EMT/EMR CARDIOVASCULAR EMERGENCIES LESsONPREVIEW OF EMT/EMR CARDIOVASCULAR EMERGENCIES LESsON
PREVIEW OF EMT/EMR CARDIOVASCULAR EMERGENCIES LESsONBruce Vincent
 
Av dysrhythmias
Av dysrhythmiasAv dysrhythmias
Av dysrhythmiasdjorgenmorris
 

Was ist angesagt? (20)

Congestive heart failure
Congestive heart failureCongestive heart failure
Congestive heart failure
 
Ventricular dysrhythmias
Ventricular dysrhythmiasVentricular dysrhythmias
Ventricular dysrhythmias
 
Arrhythmias
ArrhythmiasArrhythmias
Arrhythmias
 
Cardiac arrhythmias
Cardiac arrhythmias Cardiac arrhythmias
Cardiac arrhythmias
 
Heart failure (3)
Heart failure (3)Heart failure (3)
Heart failure (3)
 
Arrhythmia for undergraduates
Arrhythmia for undergraduatesArrhythmia for undergraduates
Arrhythmia for undergraduates
 
Mnemonics for medicine &amp; surgery
Mnemonics for medicine &amp; surgeryMnemonics for medicine &amp; surgery
Mnemonics for medicine &amp; surgery
 
Congestive heart failure basics
Congestive heart failure basicsCongestive heart failure basics
Congestive heart failure basics
 
SA Node Dysrhythmia
SA Node DysrhythmiaSA Node Dysrhythmia
SA Node Dysrhythmia
 
Cardiac Dysrhythmias.
Cardiac Dysrhythmias.Cardiac Dysrhythmias.
Cardiac Dysrhythmias.
 
Cerebrovascular disorders
Cerebrovascular disordersCerebrovascular disorders
Cerebrovascular disorders
 
Arrhythmia
ArrhythmiaArrhythmia
Arrhythmia
 
Assessment of cardiovascular function
Assessment of cardiovascular functionAssessment of cardiovascular function
Assessment of cardiovascular function
 
ECG: Multifocal Atrial Tachycardia
ECG: Multifocal Atrial TachycardiaECG: Multifocal Atrial Tachycardia
ECG: Multifocal Atrial Tachycardia
 
Palpitation
PalpitationPalpitation
Palpitation
 
Arrhythmia
Arrhythmia Arrhythmia
Arrhythmia
 
Dysrhythmias
DysrhythmiasDysrhythmias
Dysrhythmias
 
PREVIEW OF EMT/EMR CARDIOVASCULAR EMERGENCIES LESsON
PREVIEW OF EMT/EMR CARDIOVASCULAR EMERGENCIES LESsONPREVIEW OF EMT/EMR CARDIOVASCULAR EMERGENCIES LESsON
PREVIEW OF EMT/EMR CARDIOVASCULAR EMERGENCIES LESsON
 
Av dysrhythmias
Av dysrhythmiasAv dysrhythmias
Av dysrhythmias
 
Cardiac arrest
Cardiac arrestCardiac arrest
Cardiac arrest
 

Andere mochten auch

Adiponektin
AdiponektinAdiponektin
AdiponektinRizka Dvm
 
Immunologic deficiency syndromes
Immunologic  deficiency  syndromesImmunologic  deficiency  syndromes
Immunologic deficiency syndromesMUBOSScz
 
Aids an other immunodeficiencies.....
Aids an other immunodeficiencies.....Aids an other immunodeficiencies.....
Aids an other immunodeficiencies.....seetugulia
 
Defect in recruiting effector memory CD8+ T-cells in malignant pleural effusi...
Defect in recruiting effector memory CD8+ T-cells in malignant pleural effusi...Defect in recruiting effector memory CD8+ T-cells in malignant pleural effusi...
Defect in recruiting effector memory CD8+ T-cells in malignant pleural effusi...Enrique Moreno Gonzalez
 
Immunodeficiency 1
Immunodeficiency 1Immunodeficiency 1
Immunodeficiency 1Ashok Ayyappa
 
hypertention
 hypertention hypertention
hypertentionDaxina patel
 
Seminar primary immunodeficiency syndrome
Seminar primary immunodeficiency syndromeSeminar primary immunodeficiency syndrome
Seminar primary immunodeficiency syndromeEkta Jajodia
 
Primary immunodeficiency
Primary immunodeficiencyPrimary immunodeficiency
Primary immunodeficiencyNishitha Ashok
 
hypotension and hypertention emergencies in the dental office
hypotension and hypertention emergencies in the dental officehypotension and hypertention emergencies in the dental office
hypotension and hypertention emergencies in the dental officevahid199212
 
Immunodeficiency .
Immunodeficiency .   Immunodeficiency .
Immunodeficiency . Fawzia Abo-Ali
 
14 Primary Immunodeficiency Diseases
14 Primary Immunodeficiency  Diseases14 Primary Immunodeficiency  Diseases
14 Primary Immunodeficiency Diseasesghalan
 
Immunodeficiency syndromes part 3
Immunodeficiency syndromes   part 3Immunodeficiency syndromes   part 3
Immunodeficiency syndromes part 3Pediatric Home Service
 
Regulation of blood pressure
Regulation of blood pressureRegulation of blood pressure
Regulation of blood pressureAli Mansoor
 
Adaptive immunity
Adaptive immunityAdaptive immunity
Adaptive immunityBruno Mmassy
 
Immunity types and compliment system ppt
Immunity types and compliment system pptImmunity types and compliment system ppt
Immunity types and compliment system pptali7070
 

Andere mochten auch (20)

Syncope
SyncopeSyncope
Syncope
 
Adiponektin
AdiponektinAdiponektin
Adiponektin
 
Immunologic deficiency syndromes
Immunologic  deficiency  syndromesImmunologic  deficiency  syndromes
Immunologic deficiency syndromes
 
Aids an other immunodeficiencies.....
Aids an other immunodeficiencies.....Aids an other immunodeficiencies.....
Aids an other immunodeficiencies.....
 
AIDS
AIDSAIDS
AIDS
 
Defect in recruiting effector memory CD8+ T-cells in malignant pleural effusi...
Defect in recruiting effector memory CD8+ T-cells in malignant pleural effusi...Defect in recruiting effector memory CD8+ T-cells in malignant pleural effusi...
Defect in recruiting effector memory CD8+ T-cells in malignant pleural effusi...
 
Immunity
ImmunityImmunity
Immunity
 
Immunodeficiency 1
Immunodeficiency 1Immunodeficiency 1
Immunodeficiency 1
 
hypertention
 hypertention hypertention
hypertention
 
Seminar primary immunodeficiency syndrome
Seminar primary immunodeficiency syndromeSeminar primary immunodeficiency syndrome
Seminar primary immunodeficiency syndrome
 
Primary immunodeficiency
Primary immunodeficiencyPrimary immunodeficiency
Primary immunodeficiency
 
hypotension and hypertention emergencies in the dental office
hypotension and hypertention emergencies in the dental officehypotension and hypertention emergencies in the dental office
hypotension and hypertention emergencies in the dental office
 
Immunodeficiency .
Immunodeficiency .   Immunodeficiency .
Immunodeficiency .
 
14 Primary Immunodeficiency Diseases
14 Primary Immunodeficiency  Diseases14 Primary Immunodeficiency  Diseases
14 Primary Immunodeficiency Diseases
 
Immunodeficiency syndromes part 3
Immunodeficiency syndromes   part 3Immunodeficiency syndromes   part 3
Immunodeficiency syndromes part 3
 
Regulation of blood pressure
Regulation of blood pressureRegulation of blood pressure
Regulation of blood pressure
 
Adaptive immunity
Adaptive immunityAdaptive immunity
Adaptive immunity
 
Immunity types and compliment system ppt
Immunity types and compliment system pptImmunity types and compliment system ppt
Immunity types and compliment system ppt
 
T cells and b-cells
T cells and b-cellsT cells and b-cells
T cells and b-cells
 
Primary immunodeficiencies
Primary immunodeficienciesPrimary immunodeficiencies
Primary immunodeficiencies
 

Mehr von Jignesh Vora

Mehr von Jignesh Vora (20)

Strong muscles
Strong musclesStrong muscles
Strong muscles
 
Step ups
Step upsStep ups
Step ups
 
Slr
SlrSlr
Slr
 
Sit to stand
Sit to standSit to stand
Sit to stand
 
Side leg rise
Side leg riseSide leg rise
Side leg rise
 
Seated hip march
Seated hip marchSeated hip march
Seated hip march
 
Quad set
Quad setQuad set
Quad set
 
Pillow squeeze
Pillow squeezePillow squeeze
Pillow squeeze
 
One leg balance
One leg balanceOne leg balance
One leg balance
 
Heel raise
Heel raiseHeel raise
Heel raise
 
Hamstring stretch
Hamstring stretchHamstring stretch
Hamstring stretch
 
Anatomical motions
Anatomical motionsAnatomical motions
Anatomical motions
 
Calf stretch
Calf stretchCalf stretch
Calf stretch
 
Vertigo
VertigoVertigo
Vertigo
 
Tia
TiaTia
Tia
 
Tetanus
TetanusTetanus
Tetanus
 
Stroke
StrokeStroke
Stroke
 
Pituitary gland
Pituitary glandPituitary gland
Pituitary gland
 
Persistent vegetative state
Persistent vegetative statePersistent vegetative state
Persistent vegetative state
 
Migraine
MigraineMigraine
Migraine
 

KĂźrzlich hochgeladen

VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋TANUJA PANDEY
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...tanya dube
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...chandars293
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi
 
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...parulsinha
 
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...astropune
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
O963O942363 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O963O942363 Call Girls In Ahmedabad Escort Service Available 24×7 In AhmedabadO963O942363 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O963O942363 Call Girls In Ahmedabad Escort Service Available 24×7 In AhmedabadGenuine Call Girls
 
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeCall Girls Delhi
 
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...narwatsonia7
 
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Dipal Arora
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X79953056974 Low Rate Call Girls In Saket, Delhi NCR
 

KĂźrzlich hochgeladen (20)

VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
 
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service Available
 
O963O942363 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O963O942363 Call Girls In Ahmedabad Escort Service Available 24×7 In AhmedabadO963O942363 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O963O942363 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
 
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
 
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
 

Vaso vagal syncope