A 64year old African-American male with a history of hypertension and tobacco abuse presented after collapsing at home. The patient was watching television but then lost consciousness and was woken up on the floor by his wife a few minutes later. He denies any prodrome, chest pain, palpitations or dyspnea prior to the collapse. He denies tongue biting and bladder/bowel incontinence. He has no history of cardiovascular disease and denies drug or alcohol use. On presentation his blood pressure was 152/89mmHg but the rest of his vital signs were normal including finger stick glucose and orthostatic blood pressure readings.
