Syncope as a Rare Clinical Presentation of Pulmonary Thromboembolism: A Case Report

Dr. Swati Soni, Dr. Gurpreet Sharma, Dr. Sapna Kaushish, Dr. Ajay Sharma, Dr. Ravi Sharma, Dr. Rajesh Bhawani

Abstract: A 50 - year - old male adult with no co - morbidities experienced sudden onset loss of consciousness for approximately 2 - 3 minutes at home. The patient had no history of chest pain, diaphoresis, palpitations, abnormal body movements, or incontinence. On examination, he presented with hypotension, tachycardia, and normal saturation at room air. Diagnostic tests revealed T - wave inversions on ECG, dilated right pulmonary artery on chest X - ray, and thrombus presence in the pulmonary artery on CT - Pulmonary angiography. The patient was diagnosed with acute pulmonary thromboembolism and successfully treated with thrombolysis. Follow - up examinations showed no syncope episodes, stable vitals, and normal 2DEcho results.

Keywords: Syncope, Pulmonary Thromboembolism, Case Report, Thrombolysis, Hemodynamic Compromise