A 23-year-old man presents after a syncopal episode while standing in a warm crowded room. He had prodromal light-headedness and nausea, and quickly r...

Question

A 23-year-old man presents after a syncopal episode while standing in a warm crowded room. He had prodromal light-headedness and nausea, and quickly recovered without confusion. ECG is normal, and there is no cardiac history. What is the most appropriate management?

Accepted Answer

Reassure regarding vasovagal syncope and advise on trigger avoidance

Answer

Admit for telemetry and echocardiography

Answer

Start beta-blocker therapy

Answer

Order urgent electrophysiology studies

Answer

Implant a cardioverter-defibrillator

ca-mccqe1 MCQ (SBA): Vasovagal syncope

A 23-year-old man presents after a syncopal episode while standing in a warm crowded room. He had prodromal light-headedness and nausea, and quickly recovered without confusion. ECG is normal, and there is no cardiac history. What is the most appropriate management?