Article Text

PDF

A patient with recurrent syncope
  1. S Zachariah,
  2. G K Davis
  1. Aintree Cardiac Centre, University Hospital Aintree, Lower Lane, Liverpool L9 7AL, UK
  1. Correspondence to:
 Dr Davis; 
 gershan.davisaht.nwest.nhs.uk

Statistics from Altmetric.com

Answers on p120.

A 43 year old man presented to the accident and emergency department with a history of feeling light headed followed by loss of consciousness after he had just finished jogging. There was no associated chest pain, palpitations, or seizure activity. He admitted to feeling dizzy and presyncopal almost every time after performing any strenuous exercise. Physical examination and blood investigations including serum cardiac enzymes and troponin I were normal. His admission electrocardiogram (ECG) is shown in fig 1.

QUESTIONS

  1. What does his ECG show?

  2. What other investigations would you consider and what might they show?

  3. What diagnoses would you consider?

  4. How would you treat this patient?

View Abstract

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles

  • Self assessment answers
    The Fellowship of Postgraduate Medicine