RT Book, Section
A1 Mantri, Nikhitha
A1 Saad, Muhammad
A1 Vittorio, Timothy J.
A2 Saad, Muhammad
A2 Bhandari, Manoj
A2 Vittorio, Timothy J.
SR Print(0)
ID 1166696780
T1 10 Real Cases on Syncope and Dizziness: Diagnosis, Management, and Follow-Up
T2 Patient Management in the Telemetry/Cardiac Step-Down Unit: A Case-Based Approach
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260456998
LK accesscardiology.mhmedical.com/content.aspx?aid=1166696780
RD 2024/04/24
AB A  64-year-old  man  was  brought  to  the  emergency  department  after  an  episode  of  dizziness  followed  by  complete  loss  of  consciousness.  According  to  the  patient’s  daughter,  he  was  resting  at  home  when  these  symptoms  occurred.  He  regained  consciousness  within  1  minute  without  any  residual  symptoms.  There  was  no  history  of  seizure  activity,  weakness,  or  numbness.  He  denied  blurred  vision,  chest  discomfort,  and  palpitation.  His  medical  comorbidities  were  uncontrolled  hypertension  and  chronic  kidney  disease.  The  medical  regimen  included  metoprolol  succinate,  lisinopril,  spironolactone,  and  furosemide.  There  was  no  significant  family  history  noted.  Upon  arrival,  vital  signs  were  blood  pressure  of  123/75  mm  Hg,  heart  rate  of  37  bpm,  respiratory  rate  of  16  breaths/min,  and  oxygenation  of  95%  on  room  air.  The  physical  examination  was  notable  for  sinus  bradycardia  but  otherwise  unremarkable.  The  12-lead  ECG  is  shown  in  Figure  3.1.1.  The  laboratory  data  revealed  potassium  of  7.8  mEq/L  and  creatinine  of  2.5  mg/dL.  Imaging  of  the  chest  and  head  was  negative.  How  would  you  manage  this  case?