En mann i 80-årene med gjentatte synkoper
作者： Sigurd Haakonsen , Per Anton Sirnes , Knut Gjesdal
关键词:
摘要: BACKGROUND: Syncope is usually a benign event that affects up to 50% of people over lifetime, needing no extensive examination. The challenge diagnose the few with underlying life-threatening disease in need immediate medical attention. Guidelines are clear, but unfortunately, clinical practice does not always follow recommendations, as illustrated by this case report. CASE PRESENTATION: A diabetic, hypertensive male his eighties had myocardial infarction history. He presented GP recurrent syncopal episodes occurred while erect and motion. Physical examination was found be normal for age, he referred cardiologist seen three months later. An ECG showed sinus rhythm previous inferior wall infarction. 24-hour recorder fitted, consultation scheduled next day. At home patient died. recording revealed increasing depression ST segment, followed rapidly conducted atrial fibrillation, then rapid ventricular tachycardia terminal fibrillation. INTERPRETATION: history where there suspicion cardiac syncope should immediately intensively examined when presenting healthcare services.
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