Case One: The Sudden Fall

Management

The following describes six different methods of managing the patient. Which would you pursue? Click on each link to determine the results of your evaluation.

Send home, stop Timolol and arrange for Holter monitor or Loop Recorder

Since the patient was not advised of the danger of driving related to syncope, she did not stop driving once she was sent home. As a result the patient was involved in a motor vehicle accident; investigation revealed that she had “blacked out at the wheel”.
Click here to learn more about the Holter Monitor.
Click here to learn more about the Loop Recorder.

Electrophysiology Study
Tilt Table Test
Echocardiogram
Admit and monitor
Electroencephalograph

"The Canadian Cardiovascular Society has recommended that a driver with more than one episode of syncope within a year of their most recent event should be suspended from driving for three months if they are a private driver, and one year if they drive a light truck."