A Case of Syncope Induced in the Supine Position

We experienced a reproducible supine syncope followed by upper abdominal pain. A 66-year-old man was transferred to our hospital after an episode of syncope during sleep. He had a history of acute pancreatitis, diabetes, hypertension, and dyslipidemia, but no history of presyncopal attack. One night...

Full description

Saved in:
Bibliographic Details
Main Authors: Kazuo Eguchi, Akihiro Tsujita, Syoji Ono, Kazuomi Kario
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:International Journal of Hypertension
Online Access:http://dx.doi.org/10.4061/2011/342140
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832545616617537536
author Kazuo Eguchi
Akihiro Tsujita
Syoji Ono
Kazuomi Kario
author_facet Kazuo Eguchi
Akihiro Tsujita
Syoji Ono
Kazuomi Kario
author_sort Kazuo Eguchi
collection DOAJ
description We experienced a reproducible supine syncope followed by upper abdominal pain. A 66-year-old man was transferred to our hospital after an episode of syncope during sleep. He had a history of acute pancreatitis, diabetes, hypertension, and dyslipidemia, but no history of presyncopal attack. One night, his wife noticed he was snoring abnormally in bed, and he did not respond to her voice until after she tried many times to wake him. The same attack was reproduced three times in the same situation. One of the attacks was recorded under a continuous ECG and radial tonometry. In this case, a presyncopal attack and a sense of ill-feeling were provoked by the patient lying in a prolonged supine position. He was eventually diagnosed as metastatic liver tumor 5 months after the first attack. Because few cases of syncopal attack have been reported in the supine position, its underlying mechanisms deserve consideration.
format Article
id doaj-art-f849723552734d5585f565148d40ba34
institution Kabale University
issn 2090-0392
language English
publishDate 2011-01-01
publisher Wiley
record_format Article
series International Journal of Hypertension
spelling doaj-art-f849723552734d5585f565148d40ba342025-02-03T07:25:24ZengWileyInternational Journal of Hypertension2090-03922011-01-01201110.4061/2011/342140342140A Case of Syncope Induced in the Supine PositionKazuo Eguchi0Akihiro Tsujita1Syoji Ono2Kazuomi Kario3Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, 3311-1 Yakushiji, Shimotsuke, Tochigi, JapanDepartment of Internal Medicine, International University of Health and Welfare Hospital, JapanDepartment of Internal Medicine, International University of Health and Welfare Hospital, JapanDivision of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, 3311-1 Yakushiji, Shimotsuke, Tochigi, JapanWe experienced a reproducible supine syncope followed by upper abdominal pain. A 66-year-old man was transferred to our hospital after an episode of syncope during sleep. He had a history of acute pancreatitis, diabetes, hypertension, and dyslipidemia, but no history of presyncopal attack. One night, his wife noticed he was snoring abnormally in bed, and he did not respond to her voice until after she tried many times to wake him. The same attack was reproduced three times in the same situation. One of the attacks was recorded under a continuous ECG and radial tonometry. In this case, a presyncopal attack and a sense of ill-feeling were provoked by the patient lying in a prolonged supine position. He was eventually diagnosed as metastatic liver tumor 5 months after the first attack. Because few cases of syncopal attack have been reported in the supine position, its underlying mechanisms deserve consideration.http://dx.doi.org/10.4061/2011/342140
spellingShingle Kazuo Eguchi
Akihiro Tsujita
Syoji Ono
Kazuomi Kario
A Case of Syncope Induced in the Supine Position
International Journal of Hypertension
title A Case of Syncope Induced in the Supine Position
title_full A Case of Syncope Induced in the Supine Position
title_fullStr A Case of Syncope Induced in the Supine Position
title_full_unstemmed A Case of Syncope Induced in the Supine Position
title_short A Case of Syncope Induced in the Supine Position
title_sort case of syncope induced in the supine position
url http://dx.doi.org/10.4061/2011/342140
work_keys_str_mv AT kazuoeguchi acaseofsyncopeinducedinthesupineposition
AT akihirotsujita acaseofsyncopeinducedinthesupineposition
AT syojiono acaseofsyncopeinducedinthesupineposition
AT kazuomikario acaseofsyncopeinducedinthesupineposition
AT kazuoeguchi caseofsyncopeinducedinthesupineposition
AT akihirotsujita caseofsyncopeinducedinthesupineposition
AT syojiono caseofsyncopeinducedinthesupineposition
AT kazuomikario caseofsyncopeinducedinthesupineposition