Discussion and conclusion
Laugh syncope was diagnosed in the patient based on his characteristic presentation. Situational syncopes such as laugh syncope are usually diagnosed using history from the patient [9]. In the other known cases of laugh syncope
reported in the literature, more thorough and extensive diagnostic evaluations were performed [3,5-8]. However, all cases had a common characteristic history of transient loss of consciousness following intense laughter, which potentially could have obviated the need for an expensive diagnostic evaluation. The burden of syncope evaluation on the health care budget is significant. It has been estimated
that hospital admission of patients presenting with