Dropped Like He's Hot: Near Syncope And Chest Pain In A Basketball Player

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Dropped Like He's Hot: Near Syncope And Chest Pain In A Basketball Player - Page #3

Lab Studies: CBC, BMP, BNP and troponin were all normal. Other Studies: EKG was normal in the Emergency Department. Additional studies completed by cardiology weeks after discharge: EKG - normal sinus rhythm with early repolarization in the lateral leads Echocardiogram - normal with no septal hypertrophy Holter monitor - normal Exercise stress test - drop in systolic arterial pressure with signs of dizziness as patient was 46 seconds into recovery. No signs of ischemia. No ectopy. Excellent endurance. Coronary CT angiography - normal Pulmonary function tests - normal Tilt table test - Negative for syncope. Positive for increase in pulse more than 30 beats per minute (51 to 84 in 3 minutes, reaching maximum 105) in the first 10 minutes of the passive phase. Consultations: Cardiology Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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