Pulse: EKG-Man with Syncope

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