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Unexplained transient loss of consciousness in a 58 year old male after a Legionella pneumonia: Difference between revisions
Unexplained transient loss of consciousness in a 58 year old male after a Legionella pneumonia (view source)
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Other frequently reported complaints in patients with autonomic failure are (pre)syncopal symptoms during toilet visits at night and in the early morning<cite>Weiner</cite><cite>Rowell</cite>. This complaint also was present in our patient. | Other frequently reported complaints in patients with autonomic failure are (pre)syncopal symptoms during toilet visits at night and in the early morning<cite>Weiner</cite><cite>Rowell</cite>. This complaint also was present in our patient. | ||
In conclusion, in patients with (pre)syncope during exercise combined with miction, defecation, sweating or erectile problems in the absence of cardiac disorders, autonomic dysfunction is likely to be present and autonomic evaluation, including exercise testing and a Valsalva manoeuvre should be performed. By just testing of blood pressure in supine and standing position the diagnosis might be overlooked | In conclusion, in patients with (pre)syncope during exercise combined with miction, defecation, sweating or erectile problems in the absence of cardiac disorders, autonomic dysfunction is likely to be present and autonomic evaluation, including exercise testing and a Valsalva manoeuvre should be performed. By just testing of blood pressure in supine and standing position the diagnosis might be overlooked<cite>Smith</cite>. | ||