HPI
52-year-old man with PMHx of hypertension presents after a witnessed syncopal episode at home. He felt lightheaded while standing to use the bathroom and briefly lost consciousness without seizure activity or trauma. On arrival he is alert and reports residual dizziness but no chest pain or dyspnea. No prior syncope, stimulant use, and no family history of sudden death is known. There is no other known past medical history or significant family history. Vitals and physical exam is unremarkable without focal neurological deficits or murmurs. The following ECG is obtained on arrival:
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