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Syncope to Survival: The Critical Role of Acute Medicine in a Tertiary Care – a Case Report

Year: 2025

Type: article

Abstract: Syncope is a common yet potentially life-threatening condition, especially in elderly patients with multiple co-morbidities. Its prompt recognition and intervention can prevent adverse outcomes. This case report entails the story of a 70-year-old woman with diabetes, hypertension, hypothyroidism, and asthma who presented with recurrent syncope. Initial evaluation revealed bradycardia and hypotension, with an ECG confirming complete heart block. Despite a rapid decline to brady-arrest during transfer, timely resuscitation and emergency temporary pacing led to survival. A permanent pacemaker was subsequently implanted, leading to full recovery. This case highlights the life-saving potential of acute medicine and the importance of rapid multidisciplinary coordination in managing high-risk cardiac emergencies such as complete heart block, particularly in resource-constrained settings.

Source: The Journal of Sylhet Women’s Medical College

DOI: 10.47648/jswmc2025v15-2-29

Authors: Chowdhury NB, Salam MU, Majumdar K, AhmadMM, Munim R

Language: English

Topic: Cardiovascular Syncope and Autonomic Disorders

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: bronze

OpenAlex ID: W4412371182

FWCI:

Cites: 5

Cited by:

Related to: 10