Syncope in patients with pulmonary embolism
M. D. Thames, J. S. Alpert and J. E. Dalen
A review of 132 consecutive cases of acute pulmonary embolism (PE)
documented by pulmonary angiography indicated that syncope was the initial
or predominant clinical feature in 17 (13%). When massive PE causes syncope
in a nonhospitalized patient, the diagnosis of PE is frequently overlooked.
Hypotension after PE may resolve spontaneously after a short interval. In
this circumstance, the syncopal episode might easily be attributed to
another cause. The appropriate diagnosis can be established only if other
clues, suggestive of PE, are sought. Both arterial blood gas determinations
and pulmonary scintigraphy are helpful in making this diagnosis.
Fatal Pulmonary Embolism After Knee Arthroscopy
Navarro-Sanz and Fernandez-Ortega
Am J Sports Med 2004;32:525-528.
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Pulmonary Embolism: What Have We Learned Since Virchow?: Natural History, Pathophysiology, and Diagnosis
Dalen
Chest 2002;122:1440-1456.
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Major Pulmonary Embolism : Review of a Pathophysiologic Approach to the Golden Hour of Hemodynamically Significant Pulmonary Embolism
Wood
Chest 2002;121:877-905.
ABSTRACT
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The pathophysiology of common causes of syncope
Arthur and Kaye
Postgrad. Med. J. 2000;76:750-753.
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A Patient With Syncope, Only "Vagally" Related to the Heart
Eldadah et al.
Chest 2000;117:1801-1803.
ABSTRACT
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Sudden Loss of Consciousness, Dyspnea, and Hypoxemia in a Previously Healthy Young Man
Fred and Yang
Circulation 1995;91:3017-3019.
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