A Case of Neurally Mediated Syncope and Sick Sinus Syndrome Associated With Lung Cancer
We describe a case of non–small cell lung cancer (NSCLC) associated with recurrent episodes of syncope. During the work-up for syncope, the patient was incidentally found to have a mass in the right upper lobe, which was later diagnosed as NSCLC. Positron emission tomography computed tomography show...
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| Format: | Article |
| Language: | English |
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American College of Physicians
2025-03-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2024.0865 |
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| _version_ | 1850148093353263104 |
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| author | Shihomi Kirihara Shoji Kawakami Jun-ichiro Nishi |
| author_facet | Shihomi Kirihara Shoji Kawakami Jun-ichiro Nishi |
| author_sort | Shihomi Kirihara |
| collection | DOAJ |
| description | We describe a case of non–small cell lung cancer (NSCLC) associated with recurrent episodes of syncope. During the work-up for syncope, the patient was incidentally found to have a mass in the right upper lobe, which was later diagnosed as NSCLC. Positron emission tomography computed tomography showed metastatic lymphadenopathy of the supraclavicular and paratracheal nodes involving the cardiac branches of the vagus nerve. The patient no longer experienced syncope after starting immunochemotherapy. Considering the rapid and complete remission of syncope after the treatment of lung cancer and the location of metastatic lymphadenopathy, this condition might represent a location-dependent syndrome. |
| format | Article |
| id | doaj-art-6b24eef4299a4f0cbc4fb6406445f10b |
| institution | OA Journals |
| issn | 2767-7664 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-6b24eef4299a4f0cbc4fb6406445f10b2025-08-20T02:27:20ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642025-03-014310.7326/aimcc.2024.0865A Case of Neurally Mediated Syncope and Sick Sinus Syndrome Associated With Lung CancerShihomi Kirihara0Shoji Kawakami1Jun-ichiro Nishi21Department of Cardiology, Aso Iizuka Hospital, Iizuka, Japan1Department of Cardiology, Aso Iizuka Hospital, Iizuka, Japan1Department of Cardiology, Aso Iizuka Hospital, Iizuka, JapanWe describe a case of non–small cell lung cancer (NSCLC) associated with recurrent episodes of syncope. During the work-up for syncope, the patient was incidentally found to have a mass in the right upper lobe, which was later diagnosed as NSCLC. Positron emission tomography computed tomography showed metastatic lymphadenopathy of the supraclavicular and paratracheal nodes involving the cardiac branches of the vagus nerve. The patient no longer experienced syncope after starting immunochemotherapy. Considering the rapid and complete remission of syncope after the treatment of lung cancer and the location of metastatic lymphadenopathy, this condition might represent a location-dependent syndrome.https://www.acpjournals.org/doi/10.7326/aimcc.2024.0865 |
| spellingShingle | Shihomi Kirihara Shoji Kawakami Jun-ichiro Nishi A Case of Neurally Mediated Syncope and Sick Sinus Syndrome Associated With Lung Cancer Annals of Internal Medicine: Clinical Cases |
| title | A Case of Neurally Mediated Syncope and Sick Sinus Syndrome Associated With Lung Cancer |
| title_full | A Case of Neurally Mediated Syncope and Sick Sinus Syndrome Associated With Lung Cancer |
| title_fullStr | A Case of Neurally Mediated Syncope and Sick Sinus Syndrome Associated With Lung Cancer |
| title_full_unstemmed | A Case of Neurally Mediated Syncope and Sick Sinus Syndrome Associated With Lung Cancer |
| title_short | A Case of Neurally Mediated Syncope and Sick Sinus Syndrome Associated With Lung Cancer |
| title_sort | case of neurally mediated syncope and sick sinus syndrome associated with lung cancer |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2024.0865 |
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