1st April 2022

A 33-year-old woman presents to A&E, after having had her second episode of fainting in a week

A 33-year-old woman presents to A&E, after having had her second episode of fainting in a week. She describes that in both episodes she felt dizzy and clammy, before suddenly passing out, losing consciousness for a few seconds. After lying down for a few minutes, she feels much better. Witnesses report no limb jerking, and she does not report any incontinence or tongue biting. Routine bloods return no abnormalities, and there is sinus tachycardia on her ECG. Observations show she is slightly tachycardic at 105bpm, and her blood pressure is 104/72 mmHg.

Which of the following statements about the management of this condition is correct?

Select the SINGLE most appropriate initial management option from the list below. Select ONE option only.