Pulmonary embolism in a patient withisolated syncope, a diagnostic challenge

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Author(s): F E Blum, O Idowu & S Danciu

Description

Syncope is a recognized presenting symptom in patients with pulmonary embolism (PE), and is more common in older
patients and following a large embolus. Isolated syncope, in the absence of dyspnea or tachycardia, is uncommon in
this setting, and may be misdiagnosed as cardiac in origin, leading to a delay in appropriate treatment. We present a
case which illustrates the importance of consideration of pulmonary embolism in the differential diagnosis of patients
presenting with syncope, and the value of echocardiography in its diagnosis.