A 68-year-old man presents with a witnessed syncopal episode while walking. He reports brief loss of consciousness with rapid recovery. ECG shows bifa...

Question

A 68-year-old man presents with a witnessed syncopal episode while walking. He reports brief loss of consciousness with rapid recovery. ECG shows bifascicular block. What is the most appropriate management?

Accepted Answer

Admit for further cardiac monitoring and evaluation for possible arrhythmic syncope

Answer

Discharge with reassurance

Answer

Advise increased fluid intake only

Answer

Treat as vasovagal syncope and give no follow-up

Answer

Arrange routine outpatient review in 6 months

uk-plab-1 MCQ (SBA): Syncope – arrhythmic risk

A 68-year-old man presents with a witnessed syncopal episode while walking. He reports brief loss of consciousness with rapid recovery. ECG shows bifascicular block. What is the most appropriate management?