Syncope as a form of presentation of Pulmonary Thromboembolism

Authors

Keywords:

syncope, pulmonary thromboembolism, thrombolysis.

Abstract

Introduction: Pulmonary thromboembolism is a common cardiovascular emergency in intensive care units and syncope as a form of presentation is rare.
Objective: To present a patient with pulmonary thromboembolism with a high risk of mortality, with syncope as a form of presentation and favorable clinical evolution.
Clinical Case: A 50-year-old male patient with a history of having undergone surgery for a stuck epigastric hernia 15 days earlier, with favorable evolution. He reported fatigue, involuntary body movements and loss of consciousness on 2 occasions. In the complementary tests, hypoxemia, respiratory alkalosis and an S wave in DI, a negative Q and T wave in DIII were confirmed. The Doppler ultrasound of the lower limbs showed left popliteal deep vein thrombosis. Treatment with heparin and warfarin was started; the patient evolved favorably. Later, he began with sudden dyspnea, hypotension and precordial pain; It was interpreted as a pulmonary thromboembolism with a high risk of mortality and thrombolysis was performed. The clinical parameters improved.
Conclusions: Syncope is a rare presentation of pulmonary thromboembolism and the search for elements that suggest this entity is essential in its diagnosis and has an impact on the patient's evolution.

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Author Biographies

Keilan Martínez Pérez, HMC Carlos J. Finlay

Especialista en 1er grado en Medicina Intensiva y Emergencias,pofesor instructor.

Alberto García Gómez, HMC Carlos J. Finlay

Máster en Urgencias Médicas. Investigador agregado. Especialista en 1 er grado en Medicina Interna y 2do grado en Medicina Intensiva y Emergencias. Profesor auxiliar de Medicina Intensiva y Emergencias.

Yamilé Ruiz de León, Hospital Hermanos Ameijeiras

Especialista en 1er grado en Medicina General e Integral y en Medicina Intensiva y Emergencias.Diplomado en Nutrición Clínica,profesor instructor.

References

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Published

2024-11-23

How to Cite

1.
Martínez Pérez K, García Gómez A, Ruiz de León Y. Syncope as a form of presentation of Pulmonary Thromboembolism. Rev Cubana Med Milit [Internet]. 2024 Nov. 23 [cited 2025 Jan. 10];53(4):e024069098. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/69098

Issue

Vol. 53 No. 4 (2024): October - December

Section

Case Presentation

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