A 48-Year-Old Woman Presenting With Syncope and Shortness of Breath.

Abstract

A 48-year-old woman with no previous medical history, who is normally fit and healthy, and with no recent travel abroad was admitted in the ED after a syncopal episode at home. In the anamnesis described, a collapse episode occurred from standing position at home while preparing to go to work. There were no clear provoking factors, no prodromes, and no associated stereotyped movements. It lasted approximately 1 minute until complete recovery. She had been complaining of dyspnea on exertion for the last 3 days, had no chest pain, and had no limb swelling or other remarkable abnormalities. On ambulance arrival, the room air oxygen saturation was 89% to 90%, heart rate was 110 beats/min, and BP was 121/72 mm Hg without orthostatic changes.