This in Medicine / Internal Medicine — 26yo Man | Cardiology | SMLE Q#1077

SMLE Question #1077

Medicine / Internal Medicine Cardiology
Last updated: February 2026
A 26-year-old man has a brief syncopal episode while standing in a warm, crowded room. Just before losing consciousness, he develops nausea, sweating, lightheadedness, and anxiety. Witnesses report pallor and that he slumped to the floor, then regained consciousness within seconds without confusion. He has no past medical history, takes no medications, and a resting ECG is normal. What is the most appropriate management for this patient?

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