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People with the following are also at higher risk: Known ischemic heart disease, structural heart disease, previous arrhythmias or reduced ventricular function Brief palpitations or sudden loss of consciousness Fainting during exertion Fainting while flat on ones back Low number of fainting episodes (one or two) Abnormal heart exam Family history of inheritable conditions or premature sudden cardiac death (younger than age 50) Presence of known congenital heart disease Initial evaluation Anyone with syncope should receive an initial evaluation, including a detailed physical exam, medical history and blood pressure and heart rate check by a health care professional

Fetterman JL, Keith RJ, Palmisano JN, et al

In another cohort study, temporal associations between STI and BV in both directions were assessed

Drug users who smoke cigarettes are four times more likely to die prematurely than those who do not smoke

Optimal use involves following healthcare provider and manufacturers instructions

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