An unusual case of neurocardiogenic syncope: A case report and systematic review.
J R Coll Physicians Edinb
; 53(1): 19-22, 2023 03.
Article
in En
| MEDLINE
| ID: mdl-36642954
ABSTRACT
We present a case of syncopal episode in emergency department (ED) and subsequent admission to the geriatric assessment unit. The patient presented with self-limiting central abdominal pain. Given a history of previous aortic aneurysm repair, a contrast CT angiogram was performed. With no evidence of leaking aneurysm, the patient was discharged from the ED. The syncopal episode happened while waiting for a taxi. A review of the earlier CT scan showed the presence of air in the venous circulatory system. In hindsight, it was thought the syncopal episode occurred due to air embolism introduced during or shortly after venous cannulation. We discuss the aetiology of venous air embolism and highlight the lack of evidence regarding tolerable amounts of air in the circulatory system. Physiological changes associated with age may suggest that elderly patients are uniquely maladapted to overcome sudden insults to their cardiovascular status.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Syncope, Vasovagal
/
Embolism, Air
Type of study:
Etiology_studies
/
Systematic_reviews
Limits:
Aged
/
Humans
Language:
En
Journal:
J R Coll Physicians Edinb
Journal subject:
EDUCACAO
/
HISTORIA DA MEDICINA
/
MEDICINA
Year:
2023
Document type:
Article
Affiliation country:
Reino Unido