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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Faintiness, High Heart Rate, High BP, Bruising To Chest During Flight. What Could It Be?

My wife (healthy, not overweight, age 41) has been in Italy on business for three days and return flight to UK was via Cologne/Bonn. On the flight from Italy she fainted, had high heart rate and raised blood pressure. She now has unexplained bruising to her chest. She has been refused flight to UK and is in hospital in Cologne overnight for observation/assessment - what is your initial view?
Tue, 17 Sep 2013
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Cardiologist 's  Response
Dear Sir
Thanks for writing to us.
An unexplained bruise could have been due to a cardiac thump or an attempted defibrillation in such circumstances.
At times high heart rates are associated with such dangerous cardiac rhythms that their reversion is mandatory in initial few minutes. When a defibrillator is not available, the next possible thing is a thump reversion. Someone might have tried it when she fainted.
Other possibility is that she may have been given some blood thinners in the hospital which has caused the bruise. These are given in patients with acute cardiac conditions.
Sincerely
Sukhvinder
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Faintiness, High Heart Rate, High BP, Bruising To Chest During Flight. What Could It Be?

Dear Sir Thanks for writing to us. An unexplained bruise could have been due to a cardiac thump or an attempted defibrillation in such circumstances. At times high heart rates are associated with such dangerous cardiac rhythms that their reversion is mandatory in initial few minutes. When a defibrillator is not available, the next possible thing is a thump reversion. Someone might have tried it when she fainted. Other possibility is that she may have been given some blood thinners in the hospital which has caused the bruise. These are given in patients with acute cardiac conditions. Sincerely Sukhvinder