History of Present Illness

An 80 year old woman is brought to the emergency department by EMS because of a syncopal episode at home. She had been in the shower, suddenly felt weak and collapsed to the floor.  Her husband heard her fall and found her awake, lying in the shower. He called EMS who found the patient to be tachycardic and hypotensive.  On ED arrival she is confused and has difficulty answering questions.  Her husband states she has hypertension, dyslipidemia, mild dementia and one week ago had a transcatheter aortic valve replacement (TAVR) for severe aortic stenosis.  He was told the procedure had been uncomplicated and states that his wife had been feeling well during her recovery. She never had an event like this previously.

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