An older, but sprightly female is brought to the ED after developing multiple episodes of vomiting. Her husband had been vomiting as well but his symptoms had settled after a few hours.
She has minimal clinical history apart from hypertension for which she takes two separate agents.
The prompt to attend the ED came after the lady passed out for about 30 seconds following an episode of vomiting.
Her vitals are normal and her ECG is shown below.