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Yes, completely normal sinus rhythm - 12 lead showed nothing remarkable. I was at a loss as to what would cause the orthostatic hypotension (hence my posting here looking for ideas:))

No blood in stool and he has not (and never did) actually vomit. He takes his lisiniprol every morning so last dosage was about 17 hours ago. He has been taking it for "a couple years" and no recent changes. He stated that he had "never passed out before". ECG showed a sinus rhythm.

Dispatched in the middle of the night for a 65 y/o M who has just experienced two syncopal episodes. The patient states that he was having trouble sleeping due to nausea that had begun after eating dinner earlier in the evening. When he got up from bed to "make him self throw-up" he experienced...