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Case 274.

Chauncy B Handran1, Lynne M Hurwitz Koweek1, Joseph G Mammarappallil1

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Summary
This summary is machine-generated.

A syncopal episode in a Sudanese man prompted evaluation. Advanced imaging like CT angiography and cardiac MRI were used to investigate the cause of his fainting.

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Area of Science:

  • Cardiology
  • Diagnostic Imaging

Background:

  • A 47-year-old man presented with syncope.
  • He had no significant past medical history.
  • Initial workup including labs and ECG was unremarkable.

Purpose of the Study:

  • To investigate the cause of syncope in a patient with a normal initial workup.
  • To evaluate for potential pulmonary embolism or cardiac abnormalities.

Main Methods:

  • Contrast-enhanced CT angiography for pulmonary embolism protocol.
  • Cardiac MRI for further cardiac evaluation.

Main Results:

  • Physical examination and routine laboratory values were normal.
  • Electrocardiography showed nonspecific T-wave inversions.
  • Cardiac biomarkers were negative.

Conclusions:

  • Advanced imaging modalities were employed to diagnose the cause of syncope.
  • CT angiography and cardiac MRI provided further diagnostic information.