Clinical Case Database / Category: Patient Management
The patient with syncope
Dr SW Dubrey
Foundation Years Journal, volume 3, issue 2, p.9 (123Doc Education, London, March 2009)
A 55-year-old black male experienced an episode of loss of consciousness while attending a funeral in Trinidad. He had flown from the UK the day before and although a little "jet-lagged" was feeling his normal self. Shortly after the ceremony he found himself in a collapsed state in the toilets of the hotel at which he was staying. He had no recollection of the events surrounding his circumstances and was not aware of any warning or aura. He assumed he had possibly had too much to drink or had simply fainted. He attended a local hospital, to check that nothing more serious was responsible. There was no shortness of breath, ankle swelling or chest discomfort.
Access the Clinical Cases Database
A subscription is required to read the full article. Please subscribe using one of the options below.
|Foundation Years Clinical Cases Database||£29.00||6 months|
|Foundation Years Clinical Cases Database||£39.00||12 months|
Dr SW Dubrey
Department of Cardiology
1. National Institute for Health and Clinical Excellence (NICE). Implantable cardioverter defibrillators (ICDs) for arrhythmias. January 2006. Available at: (www.nice.org.uk/TA095).
2. Sharma O, Maheshwari A, Thaler K. Myocardial sarcoidosis. Chest, 1993, 103:253â€“258.
3. Ratner SJ, Fenoglio JJ Jr, Ursell PC. Utility of endomyocardial biopsy in the diagnosis of cardiac sarcoidosis. Chest, 1986, 90:528â€“533.
4. Fleming HA. Sarcoid heart disease. Br Med J, 1986, 292:1095â€“1096.
5. Chesnutt AN. Enigmas in sarcoidosis. West J Med, 1995, 162:519â€“526.
6. Iwai K, Sekiguti M, Hosoda Y, et al. Racial difference in cardiac sarcoidosis incidence observed at autopsy. Sarcoidosis, 1994, 11:26â€“31.
7. Sekiguchi M, Yazaki Y, Isobe M, Hiroe M. Cardiac sarcoidosis: diagnostic, prognostic, and therapeutic considerations. Cardiovasc Drugs Ther, 1996, 10(5):495â€“510.
Conflict Of Interest
The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).
The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.
Patient Consent statement
All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.
Animal & Human Rights
When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.