I have suffered from multiple syncope spells, extreme fatigu

Patient

Q: I have suffered from multiple syncope spells, extreme fatigue (dispute adequate rest) postural drop in Bp (by up to 20mmhg, which are very symptomatic) and shortness of breath. Poor exercise tolerance, but carry out daily fitness/activity, relatively fit, bmi 21. 23 female. No other significant medical history.

Symptoms:  Shortness of breath, extreme fatigue, postural drop (symptomatic drop up to 20mmhg) syncope episodes
Doctor

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