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.