Alcohol Syncope

1846 Words Jun 16th, 2010 8 Pages
Abstract Alcohol consumption may be linked to syncopal events. The mechanism by which alcohol may induce syncope is not well understood. Impairment of the response to orthostatic stress may be involved. A growing body of medical evidence suggests that short-term alcohol consumption elicits hypotension during orthostatic stress because of impairment of vasoconstriction. These findings have implications for understanding of hemodynamic effects of alcohol and, in particular, for understanding syncopal events that occur in association with alcohol intake. A 27-year-old African American female with a previous syncopal event following alcohol consumption was brought to the Emergency Department by ambulance after a witnessed …show more content…
It results in dizziness or syncope from transient diminished cerebral perfusion.
Case Report A 27-year-old, well-appearing African American female was brought to the Emergency Department by Emergency Medical Services after a witnessed syncopal episode. The only medical history is a previous alcohol-induced syncope 2 years ago. The patient does not have any past surgical history. The patient only drinks socially. She does not smoke, and she denied any drug use. The patient lives with mother, and works as a nursing assistant in a nursing home. The patient admitted to drinking “a shot of vodka” approximately 10 minutes prior to syncopal episode. The patient fell upon standing and hit the back of her head on the floor. Patient’s significant other who witnessed the syncopal event reported that loss of consciousness (LOC) lasted about 2 minutes. EMS was consequently called. According to EMS, the patient was still on the floor, alert and oriented only to self upon their arrival. She was lethargic. The patient did not remember passing out. She was subsequently transported to the Emergency department. Patient did improve remarkably on the way to the hospital. Upon arrival to the Emergency Department, patient was alert and
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