Esophageal ultrasound-guided bronchoscopic needle aspiration (EUS-B-NA) is a relatively safe procedure with rare complications. A vasovagal attack after EUS-B-NA has not been reported to date. Usually benign and self-limiting, it can cause refractory bradycardia and sudden cardiac arrest. Timely intervention reduces morbidity and mortality. Here, we report a novel case of vasovagal attack after EUS-B-NA and was managed successfully. Management includes identifying the triggering event and keeping the patient in the Trendelenburg position. Atropine is reserved for refractory cases. (www.actabiomedica.it).
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http://dx.doi.org/10.23750/abm.v92iS1.10412 | DOI Listing |
HeartRhythm Case Rep
November 2024
Imperial College Healthcare NHS Trust, London, United Kingdom.
Eur J Case Rep Intern Med
November 2024
Department of Research, WellSpan Health, York, USA.
Introduction: Venous thromboembolism (VTE) rarely presents with dizziness as the primary complaint, which can delay diagnosis. We report a rare case of dizziness as the chief complaint for a clot-in-transit and extensive bilateral pulmonary emboli.
Case Description: A 70-year-old woman presented to the emergency room (ER) with dizziness and a fall, without reporting loss of consciousness.
Clin Case Rep
December 2024
Audiology Unit, Department of Surgical Sciences Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milan Italy.
Vestibular syncope is a rare condition in which vertigo may cause syncopal attacks; however, the term has been associated with confusion because it has been ascribed to completely different vestibular and neurological conditions, from dizziness to Menière disease (MD), to the neurovegetative symptoms in benign paroxysmal positional vertigo (BPPV) and central vertebrobasilar hyperfusion. A 75-year-old woman with vasodepressive vasovagal syncope, confirmed by a tilt test with trinitrine administration, was referred for an audiological and vestibular assessment showing an acute unilateral peripheral vestibular deficit on the right side. The diagnosis is peripheral acute vestibular deficits.
View Article and Find Full Text PDFCureus
November 2024
Surgery, Johns Hopkins University School of Medicine, Baltimore, USA.
Int Med Case Rep J
November 2024
Cardiovascular Disease Center, Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi, People's Republic of China.
A 60-year-old woman was admitted to the hospital with "repeated loss of consciousness for 20 years." An electrocardiogram performed revealed sinus rhythm, and echocardiography, head/chest CTs, and a laboratory examination yielded no significant abnormalities. Besides, there were no positive results from the head-up tilt test.
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