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A 59-year-old man was seen in the Cardiology Clinic with a long history of recurrent syncope. These episodes would occur predictably during sexual intercourse at the point of ejaculation. He experienced prodromal symptoms including lightheadedness followed by syncope for approximately 10 s, with gradual recovery. To prevent injury the couple would place mattresses around the bed to cushion his fall before engaging in sexual intercourse.
He had previously been reviewed in...