re: OT Doctors/EMTs a few questions

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Any ideas on what happened or what could be wrong? It was one of the scariest things I have ever seen. Thanks in advance.

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Check for Narcolepsy. Had a guy go out on me at lunch on a contractor crew. Very similar description to what you said. When the person falls asleep they are very hard to wake up.

Would 100% have gone to the hospital.

44yo who isn't on any substance shouldn't:

1. Have a random seizure
2. A sudden arrhythmia
3. Become unresponsive

For no reason.

Vasovagal episode possibly. See a cardiologist stat

I suspect a seizure disorder. There are different types of seizures that don't involve convulsions. A neurological workup would be a good idea.

but he said right before it happened his heart began racing and git light headed. After that he woke up on the floor.

VTach. Or some weird block. PSVT. The heart racing is a huge clue that it is cardiac in nature. Guy needs a cardiologist and Holter monitor. Tomorrow is Monday. He should have an appointment Monday. Until then he probably should not drive or be alone.

Internist here. I agree with this and JAFERD. Seizure unlikely given lack of post ictal period (confusion following a seizure). Hypoglycemia does not come on so suddenly. Vasovagal is unlikely to occur while sitting down unless bearing down like others have mentioned on a toilet. Given the pre-syncopal palpitations it is very likely ventricular arrhythmia, intermittent heart block or SVT. He needs an EKG, a cardiologist and a holter monitor / implanted loop recorder. He should have gone to the ER.

The docs are out. If he were to see a cardiologist Monday would his troponin be elevated?

Cardiac event, unknown downtime, pulseless? If talking a code situation with a real round of CPR and meds ACLS etc. his trip would be sky high. Within a 24 hour period, how long before it normalizes?

There's any myriad of issues he could have. Ranging from simple dehydration to some weird syndrome. He should schedule an appointment with a cardiologist and bring a family history with him if relevant.

Have you considered your friend possibly doesn’t care for your company and was merely trying to avoid interaction with the rest of your group? Commonly known as Ostrich Syndrome.

I’m a Board Certified Numismatic Member.

Not to my knowledge on any chest pain. Very sudden