76-year-old man, who has been healthy all of his life, presents to - TopicsExpress

76-year-old man, who has been healthy all of his life, presents to the emergency room after a syncopal episode. He was shaving when he suddenly lost consciousness. He denies having chest pain, dizziness, or palpitations. He has no previous history of syncope and takes no medications. He was not incontinent of bladder or bowel and he had no tonic-clonic movements. When he awoke in the ambulance, he was oriented and asymptomatic. Vital signs and physical examination are normal. The patient has no orthostatic changes. The electrocardiogram is normal. Which of the following is the most likely diagnosis? a. Vasovagal syncope. b. Hyperventilation syncope. c. Cardiac syncope. d. Cerebral transient ischemia attack. e. Carotid sinus syncope.

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