Self-controllable prodromal symptoms of syncope attributed to carotid sinus syndrome during the end stage of cancer: a case reportReportar como inadecuado




Self-controllable prodromal symptoms of syncope attributed to carotid sinus syndrome during the end stage of cancer: a case report - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

BioPsychoSocial Medicine

, 10:27

First Online: 05 September 2016Received: 12 May 2016Accepted: 31 August 2016

Abstract

BackgroundCarotid sinus syndrome CSS can cause prodromal symptoms of syncope such as dizziness and nausea. Patients with end-stage cancer lose self-efficacy associated with reduced activities of daily life ADL. Herein, we report a case of end-stage cancer in which self-efficacy was enhanced as the patient gained self-control of prodromal symptoms of syncope.

Case presentationA 70-year-old patient with end-stage esophageal cancer and enlarged supraclavicular lymph nodes developed CSS. The CSS was a mixed type with both bradycardia and decreased blood pressure, accompanied by prodromal symptoms prior to syncope episodes. The patient incidentally discovered that he could decrease the duration of symptoms by contracting the muscles in his hands and legs. By applying this coping method at the onset of prodromal symptoms, he was also able to reduce the severity and duration of symptoms, which resulted in enhanced self-efficacy. As a result, the frequency of prodromal symptoms also decreased even though ADL improved.

ConclusionThis patient was diagnosed with vasoinhibitory-predominant mixed-type CSS. The coping method the patient developed seemed to avoid the onset of abrupt blood pressure decrease via peripheral vascular constriction action. Achievement of adequate coping such as self-control of prodromal symptoms enabled our patient to improve his self-efficacy even at the end stages of cancer. This case of enhanced self-efficacy could possibly illustrate a placebo effect for prevention of recurrence.

KeywordsCarotid sinus syndrome Prodromal symptoms of syncope End stage of cancer Self-control Coping AbbreviationsADLActivities of daily life

CSSCarotid sinus syndrome

ECOGEastern Cooperative Oncology Group

MRIMagnetic resonance imaging

Download fulltext PDF



Autor: Hideaki Hasuo - Kenji Kanbara - Hiroko Sakuma - Rie Matsumori - Mikihiko Fukunaga

Fuente: https://link.springer.com/







Documentos relacionados