Onset:
Patient was:
Associated symptoms:
Pertinent ROS: The patient denies CP, palpitations, SOB, prodrome, HA.
There were no provocative factors like exertion, position change, eating, coughing, sneezing, swallowing, anxiety, pain, defecation, micturition.
No aura, tongue biting, incontinence, postictal state, or seizure activity reported.
No PMH of prior syncope, previous cardiac or neurologic disease.
No FHx of CMP, SCD, syncope.
No new medications or recent medication changes.
No potential culprit meds such as vasodilators (nitrates, anti-HTN drugs, alpha blockers, beta-blockers, CCB), diuretics, negative chronotropes (e.g. CCB, BB), proarrhythmic or QT prolonging drugs (class IA, IC or III antiarrhythmics, etc.), and psychoactive drugs (e.g. antipsychotics, antidepressants, TCA, sedatives, barbiturates, benzos, EtOH), erectile dysfunction medications, insulin use.
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Note: Palpitations, syncope while sitting or supine, usually sudden and unheralded is indicative of arrhythmia.