© 2004 Fellowship of Postgraduate Medicine
SELF ASSESSMENT QUESTION
Bradycardia and hypotension
Symptomatic bradycardia and postural hypotension
1 Division of Cardiology, Department of Medicine, University of Texas Medical Branch at Galveston
2 Department of Internal Medicine, University of Texas Medical Branch at Galveston
Correspondence to:
Correspondence to:
Dr Yochai Birnbaum
Division of Cardiology, University of Texas Medical Branch at Galveston, 301 University Boulevard, Galveston, Texas 77555, USA; yobirnba@utmb.edu
Accepted 18 December 2003
Answers on 681.
| The first 150 words of the full text of this article appear below. |
A 24 year old white woman presented to hospital with complaints of recurrent dizziness and lightheadedness. She also admitted to several non-exertional episodes of passing out, lasting for a few minutes, over the past two years. These episodes were not associated with seizure-like activity. She had been admitted to multiple hospitals in the past with similar symptoms without any conclusive diagnosis or treatment. Hypertension was diagnosed five years earlier for which she was receiving clonidine and nifedipine. Work-up for secondary hypertension at another hospital, including urinary metanephrines, cosyntropin stimulation test, and a renal arteriogram had all been negative in the past. There was no history of diabetes, prior psychiatric disorder, or family history of sudden death. She had a history of syringomyelia with Arnold-Chiari malformation for which she had received decompression surgery at the age of 12 years.
The patient was found to have a heart rate
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
Relevant Article
-
Shortness of breath
Postgrad. Med. J. 2004 80: 681.[Extract] [Full Text] [PDF]
- Full Text
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
