Abstract
Syncope in the setting of heart block is usually, but not invariably, due to bradycardia. This point was underscored when a patient's telemetry data proved surprising. The patient, a 74-year-old man with no history of cardiac disease, initially presented to an urgent care facility after noting an elevated reading on his home blood pressure monitor. He described a 4-week history of dyspnea on exertion and poor exercise tolerance but denied dizziness, syncope, chest pain, orthopnea, lower-extremity edema, or other symptoms.
Published Version
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