Dergiler / Journal of Emergency Medicine Case Reports / 2018 / Cilt: 9 - Sayı: 1

Syncope in a Young Man

Sayfa
4–7
Yayın Tarihi
2022-10-19
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

A high index of suspicion is necessary for diagnosing.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Introduction: Syncope is a common complaint in the emergency department, accounting for 1%–3% of all visits and hospitaladmissions.
📊
Temel Bulgular & Veri:However, others, particularly those resultingfrom cardiac syncope, are associated with significant morbidity and mortality.
💡
Sonuç & Katkı:A high index of suspicion is necessary for diagnosing.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Abstract

Introduction: Syncope is a common complaint in the emergency department, accounting for 1%–3% of all visits and hospitaladmissions. Most causes are often benign and self-limited allowing safe discharge. However, others, particularly those resultingfrom cardiac syncope, are associated with significant morbidity and mortality. An electrocardiogram (ECG) is essential in additionto clinical history and physical examination for risk stratification. It is useful for identifying patients with inherited syndromesthat predispose them to cardiac arrhythmias.Case Report: We report a case of a young man who presented with syncope to the emergency department. He wasasymptomatic on arrival, but subsequently developed seizures secondary to ventricular fibrillation that required defibrillation.His initial ECG revealed characteristics of type 1 Brugada syndrome. The patient was fitted with an internal cardiac defibrillatorand was discharged. We discuss the presentation, pathophysiology, and management of patients with Brugada syndrome.Conclusion: In patients presenting with syncope, ECG is essential for risk stratification and identifying patients with possibleinherited syndromes. A high index of suspicion is necessary for diagnosing.

🔖

Bu Makaleye Atıf Yap

CHNG, E. M. C., GOH, E. (2022). Syncope in a Young Man. Journal of Emergency Medicine Case Reports, Cilt: 9 - Sayı: 1, 4–7. https://ajindex.com/articles/562630

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (1)

  1. Brugada P, Brugada J. Right bundle branch block, persistent ST segment elevation and sudden cardiac death: a distinct clinical and electrocardiographic syndrome. A multicenter report. J Am Coll Cardiol 1992; 20: 1391-6. [CrossRef ] 2. Chen Q, Kirsch GE, Zhang DM, Brugada R, Brugada J, Brugada P, et al. Genetic basis and molecular mechanism for idiopathic ventricular fibrillation. Nature. 1998; 392; 293-6. [CrossRef ] 3. Benito B, Sarkozy A, Mont L, Henkens S, Bernuezo A, Tamborero D, et al. Gender differences in clinical manifestations of Brugada syndrome. J Am Coll Cardiol 2008; 52: 1567-73. [CrossRef ] 4. Brugada J, Brugada R, Brugada P. Determinants of sudden cardiac death in individuals with the electrographic pattern of Brugada syndrome and no previous cardiac arrest. Circulation 2003; 108: 3092-6. [CrossRef ] 5. Brugada P, Benito B, Brugada R, Brugada J. Brugada Syndrome: Update 2009. Hellenic J Cardiol 2009; 50: 352-72. 6. Antzelevitch C, Brugada P, Borggrefe M, Brugada J, Brugada R, Corredo D, et al. Brugada syndrome: report of the second consensus conference: endorsed by the Heart Rhythm Society and the European Heart Rhythm Association. Circulation 2005; 111: 659-70. [CrossRef ] 7. Priori SG, Napolitano C, Gasparini M, Pappone C, Della Bella P, Giordano U, et al. Natural history of Brugada syndrome: insights for risk stratification and management. Circulation 2002; 105: 1342 -7. [CrossRef ] 8. Hirata K, Takagi Y, Nakada M, Kyushima M, Asato H. Beat to beat variation of the ST segment in a patient with right bundle branch block, persistent ST segment elevation, and ventricular fibrillations: a case report. Angiology 1998; 48: 87-90. [CrossRef ] 9. Veltmann C, Schimpf R, Echternach C, Eckardt L, Kuschy J, Streitner F, et al. A prospective study on spontaneous fluctuations between diagnostic and non-diagnostic ECGs in Brugada syndrome: implications for correct phenotyping and risk stratification. Eur Heart J 2006; 27: 2544- 52. [CrossRef ] 10. Kusano KF, Taniyama M, Nakamura K, Miura D, Banba K, Nagase S, et al. Atrial fibrillation in patients with Brugada syndrome relationships of gene mutation, electrophysiology, and clinical backgrounds. J Am Coll Cardiol 2008; 51:1169-75. [CrossRef ] 11. Available from: http://www.brugadadrugs.org 12. Brugada J, Brugada R, Antzelevitch C, Towbin J, Nademanee K, Brugada P. Long term follow-up of individuals with the electrocardiographic pattern of right bundle-branch block and ST-segment elevation in precordia