Introduction
Acute pulmonary embolism (PE) is a form of venous thromboembolism (VTE) that is
common and sometimes fatal. The clinical presentation of PE is variable and often
nonspecific making the diagnosis challenging. Recurrent syncope is a rare presentation
of pulmonary embolism that is estimated to occur in 10% of cases.[1] It can be associated with quick deterioration and poor prognosis. Early recognition of syncope as a mechanism of pulmonary embolism is crucial as the 30-day mortality is significantly higher in these patients. [2] Hence, intervention and early treatment are critical to reduce mortality. We present this case to emphasize the importance of early thrombolytic therapy in patients presenting with syncope-associated pulmonary embolism.