,HISTORY OF PRESENTING ILLNESS:  ,Briefly, this is a 36-year-old robust Caucasian gentleman with no significant past medical or surgical history, who works as a sales representative, doing a lot of traveling by plane and car and attending several sales shows, developed acute shortness of breath with an episode of syncope this weekend and was brought in by paramedics to Hospital. 
,HISTORY OF PRESENTING ILLNESS : , Briefly , this is a 36 - year - old robust Caucasian gentleman with no significant past medical or surgical history , who works as a sales representative , doing a lot of traveling by plane and car and attending several sales shows , developed acute shortness of breath with an episode of syncope this weekend and was brought in by paramedics to Hospital .