Recurrent syncope presenting as an initial symptom of pulmonary embolism
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Acute pulmonary embolism (PE) is a life-threatening disease that manifests with cardiorespiratory symptoms. Syncope can be a rare, but warning sign of PE. We report a case of a 49-yearold male diagnosed with PE who presented with recurrent syncope prior to typical cardiorespiratory symptoms. His computed tomography pulmonary angiogram revealed bilateral PE. Syncope can be a rare clinical symptom of PE, but considering lethality of the disease, a differential diagnosis of PE should be considered in patients with recurrent syncope.
Abstract
Acute pulmonary embolism (PE) is a life-threatening disease that manifests with cardiorespiratory symptoms. Syncope can be a rare, but warning sign of PE. We report a case of a 49-yearold male diagnosed with PE who presented with recurrent syncope prior to typical cardiorespiratory symptoms. His computed tomography pulmonary angiogram revealed bilateral PE. Syncope can be a rare clinical symptom of PE, but considering lethality of the disease, a differential diagnosis of PE should be considered in patients with recurrent syncope.
참고문헌 (8)
- Konstantinides SV, "2019 ESC guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society(ERS) : the task force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology(ESC)", Eur Respir J, 54, pp.1901647~ (2019)
- Duffett L, "Pulmonary embolism : update on management and controversies", BMJ, 370, pp.m2177~ (2020)
- Suwanwongse K, "Recurrent syncope as a presentation of pulmonary embolism", Cureus, 12, pp.e6623~ (2020)
- Barco S, "Differential impact of syncope on the prognosis of patients with acute pulmonary embolism : a systematic review and meta-analysis", Eur Heart J, 39, pp.4186~4195 (2018)
- Brignole M, "2018 ESC guidelines for the diagnosis and management of syncope", Eur Heart J, 39, pp.1883~1948 (2018)
- Prandoni P, "Prevalence of pulmonary embolism among patients hospitalized for syncope", N Engl J Med, 375, pp.1524~1531 (2016)
- Costantino G, "Prevalence of pulmonary embolism in patients with syncope", JAMA Intern Med, 178, pp.356~362 (2018)
- Wells PS, "Excluding pulmonary embolism at the bedside without diagnostic imaging : management of patients with suspected pulmonary embolism presenting to the emergency department by using a simple clinical model and d-dimer", Ann Intern Med, 135, pp.98~107 (2001)