You are nearing the end of a busy shift in your emergency department (ED) when pre-hospital providers arrive with your next patient. They bring in a 69-year-old male with a chief complaint of headache and chest pain. Emergency medical services (EMS) activated him as a "code STEMI" in the field. He is hypertensive, diaphoretic, and complaining of a headache and chest pain on arrival.
Syncope is defined as a transient loss of consciousness (T-LOC) due to brief global cerebral hypoperfusion characterized by rapid onset, short duration, and spontaneous complete recovery. Typical syncope is brief, lasting less than 20 seconds in duration. However, syncope rarely may last longer, even as much as several minutes.
The efficacy of statins in preventing cardiovascular events is well known, but approximately 10% of patients will develop elevations in liver function tests (LFTs).