Case Presentation: A 79-year-old male with vasculopathy, hypertension, diastolic heart failure, and dialysis-dependent end stage renal disease presented after having hypotensive syncopal episodes during initiation of his last 3 outpatient dialysis sessions. Upon dialysis cessation, he quickly awakened fully oriented with a normal hemodynamics. On arrival, physical exam findings were unrevealing, as were a subsequent […]

Case Presentation: A 19-year-old male with no known medical history presented to the ED after being found down and profusely diaphoretic by his parents. He was unresponsive to multiple doses of Ativan and Narcan. He was tachycardic to the 150s and had respiratory insufficiency, so he was intubated in the ED. Initial EKG showed sinus […]

Case Presentation: A 25-year-old male with no significant past medical and family history presented with a one-week history of fever, productive cough, intermittent shortness of breath, diffuse muscle aches and one episode of syncope on the day of presentation. Initial workup in the emergency department was positive for COVID-19. Inflammatory markers, D-dimer and Fibrinogen levels […]

Background: There are more than 1.2 million annual emergency department (ED) visits for syncope in the United States. Prior studies have demonstrated that many associated admissions and diagnostic studies, including echocardiogram, carotid ultrasound and head computed tomography (CT), may be unnecessary. Our objective was to determine the effectiveness of a novel protocol for syncope care […]

Case Presentation: A 21-year-old previously healthy female presented with a myriad of symptoms including one month of unintentional 20-pound weight loss, dyspnea with minimal exertion, syncopal episodes, palpitations, nausea, and vomiting. Prior to this, she had occasional syncopal episodes throughout her life but was athletic and participated in track in high school. Three months ago, […]