A 28-year-old presents after syncope while standing in a hot room. There is prodrome of nausea, ECG is normal, pregnancy test is negative, vitals

Question

A 28-year-old presents after syncope while standing in a hot room. There is prodrome of nausea, ECG is normal, pregnancy test is negative, vitals normalise after fluids, and there is no family history of sudden death. Examination is normal. What is the most appropriate disposition?

Accepted Answer

Discharge with vasovagal syncope advice and primary care follow-up

Answer

Admit for telemetry despite low-risk features

Answer

Start anticoagulation for presumed pulmonary embolism

Answer

Order CT head before discharge

Answer

Arrange urgent pacemaker insertion

Low-risk vasovagal syncope — RCPSC EM MCQ

A 28-year-old presents after syncope while standing in a hot room. There is prodrome of nausea, ECG is normal, pregnancy test is negative, vitals normalise after fluids, and there is no family history of sudden death. Examination is normal. What is the most appropriate disposition?