Defecation Syncope – A Poorly Described Phenomenon that should not be at the ‘Bottom’ of Your Differential

摘要

Syncope is widespread and responsible for three to five percent of US emergency room visits. While clear cardiac or orthostatic factors are identified in a majority of cases, situational syncope is infrequently described in the literature despite case reports dating back to the early 20th century. Here we present a case of an 84 year old with recurrent hypotension and bradycardia related to defecation. We hope to expand the knowledge around this subject and enhance earlier recognition and treatment.