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An 89 year old woman with a history of hypertension, type 2 diabetes mellitus, and involution depression presented with a syncope of 3−5 minutes duration occurring in a sitting position without associated seizure or other neurological signs. On admission she had signs of mild dehydration, a heart rate of 80 beats/min (bpm), and a blood pressure of 140/80 mm Hg. The baseline ECG showed sinus …