,HISTORY OF PRESENT ILLNESS: , The patient is a 78-year-old lady followed by Dr. X in our practice with history of coronary artery disease, status post coronary artery bypass grafting in 2005 presented to the emergency room following a syncopal episode. 
,HISTORY OF PRESENT ILLNESS : , The patient is a 78 - year - old lady followed by Dr. X in our practice with history of coronary artery disease , status post coronary artery bypass grafting in 2005 presented to the emergency room following a syncopal episode .