Key result
Case report highlights pulmonary embolism presenting as syncope without chest pain.
Why the study?
Pulmonary embolism can be easily missed as a diagnosis in patients presenting with syncope without chest pain, leading to increased mortality if untreated.
Case Report (n=1)
No
Pulmonary embolism should be considered in the differential diagnosis of syncope even in the absence of chest pain to prevent missed diagnoses and increased mortality.
May support PE evaluation in unexplained syncope; hypothesis-generating case report requiring prospective validation.
The diagnosis of Pulmonary embolism can easily be missed if it is not considered as one of the major differential diagnosis in a case of syncope without chest pain. We describe a case of a 74years old female with pulmonary embolism induced syncope, which highlights one of the difficulties in diagnosing pulmonary embolism. In a patient presenting in syncope without chest pain but raised troponin, the possibility of pulmonary embolism should also be considered if it does not fit with myocardial infarction. Otherwise, the diagnosis can be easily missed and patients may not receive appropriate treatment resulting in increased mortality. Pulmonary embolism should be considered in the differential diagnosis of every syncopal event in Emergency department and Cardiac care units. DOI: http://dx.doi.org/10.3126/njh.v12i1.12343 Nepalese Heart Journal Vol.12(1) 2015: 37-41
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D Mall (2015) conducted a case report in Pulmonary embolism (n=1). Low molecular weight heparin, Warfarin, and inferior vena cava filter was evaluated. Pulmonary embolism should be considered in the differential diagnosis of syncopal events, as demonstrated by a 74-year-old woman presenting with syncope without chest pain.
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