Dizziness in an avid cyclist: an unusual presentation of a common problem.

ABSTRACT:

Background

Presyncope and syncope are common presentations with a wide range of differential diagnoses; when it occurs primarily on exertion, a cardiovascular cause is more likely. Structural abnormalities and primary rhythm disturbances are the usual culprits in these patients.

Case summary

A 75-year-old gentleman presented with a history of progressive exertional presyncope. His investigations demonstrated normal cardiac structure, function, and rhythm. He underwent an exercise stress test, which demonstrated a significant reduction in peak blood pressure with equivocal electrocardiogram changes and absence of ischaemic symptoms. In view of his age and gender, a computerized tomography coronary angiogram (CTCA) was organized to exclude obstructive coronary artery disease (

SUBMITTER: Sinha A 

PROVIDER: S-EPMC8728714 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature