Conclusion
Syncope-associated pulmonary embolism is a medical emergency that can be
associated with poor prognosis and rapid decompensation. With a 90-day
mortality rate of 17.4%. [3] pulmonary embolism requires heightened
clinical suspicion and immediate therapy to prevent fatal pulmonary and
cardiac complications. While current guidelines indicate that systemic
and catheter-directed thrombolysis are reserved for those with
hemodynamic instability, those presenting with recurrent syncope may
predict rapid decompensation and may also benefit from early
thrombolytic therapy or mechanical thrombectomy if contraindications
exist.