Re-read: ECG for syncope

Here are three bounceback cases who presented with recurring syncope CASE 1: 80yoF presented with syncope, normal labs and the following ECG. Sent home and came back after another syncopal episode CASE 2: 60yoM presented with syncope, sent home and came back with recurring syncope CASE 3: 70yoF with syncope, sent home and came back…

missed long QT syndrome

Misdiagnosis of Long QT Syndrome as Epilepsy at First Presentation. Ann Emerg Med. 2009;54:26-32 This retrospective review of 31 patients (median age 21) with proved long QT syndrome found 39% experienced diagnostic delay after presenting with syncope or seizure, with a median delay of 2.4 years. A third of patients had EEGs and a sixth…

approach to syncope

In a patient who faints, we need to consider both the cause and the consequences, which means running through all body systems–paying special attention to the CARDIOVASCULAR system. A C-spine injury B: CHEST Collapse lung (pneumothorax) from rib fracture C: CARDIOVASCULAR Cardiac arrhythmia: Heart rate (brady/tachyarrhtymias) Electrical (short PR, prolonged QT, trifascicular block) A R-wave…