Syncope as a dominant symptom of pulmonary embolism - a case report

  • Marko B Baralic Klinicki centar Srbije, Klinika za nefrologiju
  • Javorka Mitić Klinika za pulmologiju, Klinički centar Srbije, Beograd, Srbija
  • Nataša Đurđević Clinic for Pulmonary Dieseases, Clinical center of Serbia, Belgrade, Serbia
  • Jelena Janković Clinic for Pulmonary Dieseases, Clinical center of Serbia, Belgrade, Serbia
  • Radomir Vešović Clinic for Thoracic Surgery, Clinical center of Serbia, Belgrade, Serbia
  • Elena Jordanova Clinic for Internal Medicine, Clinical Hospital Center Zemun, Belgrade, Serbia
  • Dejan Tabaković Clinic for Ortopedic Surgery and Traumatology, Clinical center of Serbia, Belgrade, Serbia
  • Radmila Janković School of Medicine, University of belgrade, Institute of Pathology
DOI: https://doi.org/10.5937/halo26-28740

Abstract


Abstract

Pulmonary embolism (PE) and deep vein thrombosis (DVT) may be an associated clinical syndrome that results from a single entity which is venous thrombo-embolism (VTE).

            In most patients, pulmonary embolism is manifested by a specific triad of symptoms in the form of dyspnea, pleurodynia and tachycardia, while syncope is rare, with an incidence of 6% in all patients. Since syncope with mild dyspnoea was the dominant symptom in our patient, PE was difficult to suspect, which is why additional diagnostics were performed in the form of Doppler ultrasonography of the lower extremities and multislice angiography of the pulmonary artery, which detected the disease and confirmed the diagnosis.

Even though it is a common clinical symptom,  syncope is most often associated with neurological or cardiac events, but it is still a crossroad of various internal diseases because it can also be presented in lung diseases.

 

Keywords: sincopa, embolism, thrombosis

Author Biography

Marko B Baralic, Klinicki centar Srbije, Klinika za nefrologiju
Dr med. specijalista interne medicine

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Published
2020/12/22
Issue
Vol. 26 No. 3 (2020): Scientific journal off emergency medicine Halo194
Section
Case report
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