Mr. K, a 57 year-old Caucasian male with a history of
coronary artery disease, dilated ischemic cardiomyopathy,
ventricular fibrillation arrest status post
implantable cardioverter defibrillator (ICD) placement
was admitted to telemetry for two syncopal episodes. The
patient described multiple episodes of dizziness with
fatigue over the week prior to admission, the last two
episodes resulting in loss of consciousness with bladder
incontinence. He was home alone when these episodes
occurred and was unsure of how long he had been
unconscious. Mr. K was not aware of any recent firing of
his ICD. He denied any shortness of breath, chest pain,
diaphoresis, recent fevers or chills.
Lai MD, PGY-2, Emily and Mehrotra MD, PGY-1, Anita
"Pulse: EKG-Man with Syncope,"
The Medicine Forum:
Vol. 6, Article 16.
Available at: http://jdc.jefferson.edu/tmf/vol6/iss1/16