A Case of Recurrent Syncope: To Pace or not to Pace is the Question?

Authors

  • Fatima Iqbal Hussain Aga Khan University Karachi, Pakistan
  • Aman Qureshi Aga Khan University Karachi, Pakistan
  • Intisar Ahmed Aga Khan University Karachi, Pakistan
  • Aamir Hameed Khan Ziauddin University Hospital, Karachi, Pakistan

DOI:

https://doi.org/10.47144/phj.v56i2.2387

Abstract

Syncope is a frequently encountered condition in the emergency room, with vagal syncope being the most prevalent form. However, overlapping symptoms can pose diagnostic challenges when distinguishing between vagal syncope and symptomatic sinus node dysfunction. A comprehensive history and careful evaluation of hemodynamics and electrocardiogram findings are crucial for accurate differentiation. Vagal syncope is typically associated with an upright posture, and supine syncope is considered atypical. In this case report, we describe an intriguing instance of supine vagal syncope, highlighting the importance of correct diagnosis to avoid unnecessary pacemaker implantation.

Downloads

Download data is not yet available.

Downloads

Published

2023-06-29

How to Cite

1.
Hussain FI, Qureshi A, Ahmed I, Khan AH. A Case of Recurrent Syncope: To Pace or not to Pace is the Question?. Pak Heart J [Internet]. 2023Jun.29 [cited 2024Nov.24];56(2):184-7. Available from: https://pakheartjournal1.pcs.org.pk/index.php/pk/article/view/2387

Issue

Vol. 56 No. 2 (2023): Pakistan Heart Journal

Section

Case Reports

License

Copyright (c) 2023 Pakistan Heart Journal

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

When an article is accepted for publication in the print format, the author will be required to transfer exclusive copyright to the PHJ and retain the rights to use and share their published article with others. However, re-submission of the full article or any part for publication by a third party would require prior permission of the PHJ.

Online publication will allow the author to retain the copyright and share the article under the agreement described in the licensing rights with creative commons, with appropriate attribution to PHJ. Creative Commons attribution license CC BY 4.0 is applied to articles published in PHJ https://creativecommons.org/licenses/by/4.0/