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Its a stickey problem thatpops up when I get under too much stress. Mental or physical shock can trigger it. I've worn elastic hose for years and watch my bp carefully. Try to keep it at 140/ so I have a margin to hang on towhen I stand up. Meds that raise or lower my bp is a no no as far as I'm concerned. (I've had some night mares from meds) Had a famous syncope Dr put me on clonodine and it was terrible- my bp went from 190/119 down to 65/58 zonk! It took Cleve. Clinic to tell me stay off of the med.Recently had a DR.go down my throat with a light and it put me into an episode. Relax relax relax but it doesn't always work.