Podcast #182: Syncope and PE

Run Time: 3:44 minutes

Author: Aaron Lessen, MD

Educational Pearls:

  • A new Italian study has been released, which looks at the prevalence of Pulmonary Embolism (PE) in patients admitted for syncope.
  • This study examined all patients admitted with syncope, regardless of their clinical picture, and worked them up for PE, which included wells score, D-dimer, and CT
  • Study demonstrated 1 out of 6 pts admitted for syncope had a PE.
  • Despite the headlines this study is making in the news, it is difficult to make conclusions. The study was not perfect, and mainly looked at a sick population of patients (only those who warranted admission) who had many comorbidities.  Until further studies are conduction, current practice should be to only work up syncope patients for a PE if they are exhibiting related signs and symptoms.

Link to Podcast: http://medicalminute.madewithopinion.com/syncope-and-pe/

References: http://www.heart.org/HEARTORG/Conditions/Arrhythmia/SymptomsDiagnosisMonitoringofArrhythmia/Syncope-Fainting_UCM_430006_Article.jsp

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