Bullking Up

Cardiovascular System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This young man has presented following a transient loss of consciousness, which might be due to syncope or due to a seizure. The first priority is to differentiate between these possibilities.\n\nThe feeling of light headedness prior to losing consciousness, the rapid and complete loss of consciousness, and the short period of unconsciousness favor a syncopal episode, as does the complete recovery without sequelae. The absence of an aura, convulsions or sphincter disturbances is further in favor of syncope.\n\nWhile syncope may be caused by a wide variety of conditions, exercise related syncope (as in this patient) suggests a more limited differential diagnosis - neurocardiogenic syncope (also known as vasovagal syncope), brady or tachyarrhythm"}]}

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