Clinical Case Database / Category: Patient Management
The patient with syncope
Publication details
Dr SW Dubrey
Foundation Years Journal, volume 3, issue 2, p.9 (123Doc Education, London, March 2009)
Abstract
A 55-year-old black male experienced an episode of loss of consciousness while attending a funeral in Trinidad. He had flown from the UK the day before and although a little "jet-lagged" was feeling his normal self. Shortly after the ceremony he found himself in a collapsed state in the toilets of the hotel at which he was staying. He had no recollection of the events surrounding his circumstances and was not aware of any warning or aura. He assumed he had possibly had too much to drink or had simply fainted. He attended a local hospital, to check that nothing more serious was responsible. There was no shortness of breath, ankle swelling or chest discomfort.
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Authors
Dr SW Dubrey
Department of Cardiology
Hillingdon Hospital
simon.dubrey@thh.nhs.uk
References
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2. Sharma O, Maheshwari A, Thaler K. Myocardial sarcoidosis. Chest, 1993, 103:253–258.
3. Ratner SJ, Fenoglio JJ Jr, Ursell PC. Utility of endomyocardial biopsy in the diagnosis of cardiac sarcoidosis. Chest, 1986, 90:528–533.
4. Fleming HA. Sarcoid heart disease. Br Med J, 1986, 292:1095–1096.
5. Chesnutt AN. Enigmas in sarcoidosis. West J Med, 1995, 162:519–526.
6. Iwai K, Sekiguti M, Hosoda Y, et al. Racial difference in cardiac sarcoidosis incidence observed at autopsy. Sarcoidosis, 1994, 11:26–31.
7. Sekiguchi M, Yazaki Y, Isobe M, Hiroe M. Cardiac sarcoidosis: diagnostic, prognostic, and therapeutic considerations. Cardiovasc Drugs Ther, 1996, 10(5):495–510.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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