Syncope as an Emergency Department Presentation of Pulmonary Embolism

Pulmonary embolism presenting as an isolated syncopal spell can be a difficult clinical correlation to make. We present three cases of pulmonary embolism-induced syncope and review the pathophysiology and diagnostic considerations in this setting. Pulmonary embolism should be considered in the diffe...

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Bibliographic Details
Published in:The Journal of emergency medicine 1998-01, Vol.16 (1), p.27-31
Main Authors: Wolfe, Timothy R, Allen, Todd L
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Blood Gas Analysis
Diagnosis, Differential
Emergency Service, Hospital
Fatal Outcome
Female
Follow-Up Studies
Humans
Male
Medical sciences
Middle Aged
Pneumology
pulmonary embolism
Pulmonary Embolism - complications
Pulmonary Embolism - diagnosis
Pulmonary Embolism - therapy
Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases
syncope
Syncope - diagnosis
Syncope - etiology
Syncope - therapy
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Description
Summary:Pulmonary embolism presenting as an isolated syncopal spell can be a difficult clinical correlation to make. We present three cases of pulmonary embolism-induced syncope and review the pathophysiology and diagnostic considerations in this setting. Pulmonary embolism should be considered in the differential diagnosis of every syncopal event that presents to the emergency department, even in the face of cardiac dysrhythmias and normal pulse oximetry values.
ISSN:0736-4679
2352-5029
DOI:10.1016/S0736-4679(97)00228-X