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The patient is a 52 year old female who presents to the clinic today for evaluation of multiple syncopal episodes with associated dizziness and generalized weakness. She reports that her first symptoms developed approximately 3 weeks ago. The patient states that her first syncopal episode occurred while she was teaching her first grade class. She states that she was talking to the class when she started to feel dizzy and lightheaded, the next thing she remembers is being woken up by her students on the floor of the classroom.