Details

Autor(en) / Beteiligte

• Fox, Michelle C
• Lakdawala, Neal
• Miller, Amy Leigh
• Loscalzo, Joseph

Titel

A Patient with Syncope

Ist Teil von

• The New England journal of medicine, 2013-09, Vol.369 (10), p.966-972

Ort / Verlag

Waltham, MA: Massachusetts Medical Society

Erscheinungsjahr

2013

Quelle

EZB Electronic Journals Library

Beschreibungen/Notizen

• A 35-year-old man presented to the emergency department after having an episode of syncope while playing soccer. Loss of consciousness, which lasted only seconds, was preceded by a brief period of lightheadedness. The patient reported no nausea, diaphoresis, chest pain, or dyspnea. Foreword In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information, sharing his or her reasoning with the reader (regular type). The authors' commentary follows. Stage A 35-year-old man presented to the emergency department after having an episode of syncope while playing soccer. Loss of consciousness lasted only seconds and was preceded by a brief period of light-headedness. When he regained consciousness, he had no nausea, diaphoresis, chest pain, or dyspnea. He was not injured and had no bowel or bladder incontinence. Witnesses reported no tonic–clonic movements. The patient had no history of fainting or light-headedness. Response In the evaluation of syncope, the history of the episode is critical; particular attention should be paid to any symptoms that occurred before loss of consciousness, the context . . .