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A Case of Syncope Induced in the Supine Position

We experienced a reproducible supine syncope followed by upper abdominal pain. A 66-year-old man was transferred to our hospital after an episode of syncope during sleep. He had a history of acute pancreatitis, diabetes, hypertension, and dyslipidemia, but no history of presyncopal attack. One night...

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Autores principales: Eguchi, Kazuo, Tsujita, Akihiro, Ono, Syoji, Kario, Kazuomi
Formato: Texto
Lenguaje:English
Publicado: SAGE-Hindawi Access to Research 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3095905/
https://www.ncbi.nlm.nih.gov/pubmed/21629866
http://dx.doi.org/10.4061/2011/342140
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author Eguchi, Kazuo
Tsujita, Akihiro
Ono, Syoji
Kario, Kazuomi
author_facet Eguchi, Kazuo
Tsujita, Akihiro
Ono, Syoji
Kario, Kazuomi
author_sort Eguchi, Kazuo
collection PubMed
description We experienced a reproducible supine syncope followed by upper abdominal pain. A 66-year-old man was transferred to our hospital after an episode of syncope during sleep. He had a history of acute pancreatitis, diabetes, hypertension, and dyslipidemia, but no history of presyncopal attack. One night, his wife noticed he was snoring abnormally in bed, and he did not respond to her voice until after she tried many times to wake him. The same attack was reproduced three times in the same situation. One of the attacks was recorded under a continuous ECG and radial tonometry. In this case, a presyncopal attack and a sense of ill-feeling were provoked by the patient lying in a prolonged supine position. He was eventually diagnosed as metastatic liver tumor 5 months after the first attack. Because few cases of syncopal attack have been reported in the supine position, its underlying mechanisms deserve consideration.
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spelling pubmed-30959052011-05-31 A Case of Syncope Induced in the Supine Position Eguchi, Kazuo Tsujita, Akihiro Ono, Syoji Kario, Kazuomi Int J Hypertens Case Report We experienced a reproducible supine syncope followed by upper abdominal pain. A 66-year-old man was transferred to our hospital after an episode of syncope during sleep. He had a history of acute pancreatitis, diabetes, hypertension, and dyslipidemia, but no history of presyncopal attack. One night, his wife noticed he was snoring abnormally in bed, and he did not respond to her voice until after she tried many times to wake him. The same attack was reproduced three times in the same situation. One of the attacks was recorded under a continuous ECG and radial tonometry. In this case, a presyncopal attack and a sense of ill-feeling were provoked by the patient lying in a prolonged supine position. He was eventually diagnosed as metastatic liver tumor 5 months after the first attack. Because few cases of syncopal attack have been reported in the supine position, its underlying mechanisms deserve consideration. SAGE-Hindawi Access to Research 2011-03-14 /pmc/articles/PMC3095905/ /pubmed/21629866 http://dx.doi.org/10.4061/2011/342140 Text en Copyright © 2011 Kazuo Eguchi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Eguchi, Kazuo
Tsujita, Akihiro
Ono, Syoji
Kario, Kazuomi
A Case of Syncope Induced in the Supine Position
title A Case of Syncope Induced in the Supine Position
title_full A Case of Syncope Induced in the Supine Position
title_fullStr A Case of Syncope Induced in the Supine Position
title_full_unstemmed A Case of Syncope Induced in the Supine Position
title_short A Case of Syncope Induced in the Supine Position
title_sort case of syncope induced in the supine position
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3095905/
https://www.ncbi.nlm.nih.gov/pubmed/21629866
http://dx.doi.org/10.4061/2011/342140
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