| Floating pulmonary embolus: unusual cause of recurrent syncope. | |
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MedLine Citation:
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PMID: 6479188 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 69-year old woman was admitted because of recurrent syncopal episodes. In hospital, she had repeated attacks of near fainting or syncope when she was turned into the left decubitus position. Continuous arterial pressure monitoring revealed that severe hypotension initiated these events. Secondarily, the heart rate dropped markedly. The symptoms quickly reversed when the patient was turned back into the supine or right decubitus position. Angiography revealed a large, riding and partly floating pulmonary embolus that obstructed the pulmonary circulation to a variable degree, apparently influenced by the patient's body position. During subsequent emergency surgery the angiographic findings were confirmed. It appears that the severe hypotensive episodes were caused by intermittent high degree obstruction of the pulmonary circulation by the floating pulmonary embolus, a mechanism that, to our knowledge, has not previously been described as a cause of recurrent syncope. |
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Authors:
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U Busch; U Renner; A Wirtzfeld; H Sebening; G Klein; S Hagl |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: European heart journal Volume: 5 ISSN: 0195-668X ISO Abbreviation: Eur. Heart J. Publication Date: 1984 Jul |
Date Detail:
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Created Date: 1984-11-05 Completed Date: 1984-11-05 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8006263 Medline TA: Eur Heart J Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 602-5 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Female Humans Hypotension, Orthostatic / etiology Pulmonary Embolism / complications*, radiography, surgery Recurrence Syncope / etiology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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