Case Presentation: A 46-year old Caucasian male with history of anxiety/depression-on citalopram, tobacco, alcohol use, bilateral chronic knee pain, presented to an outside facility with concerns of nausea, vomiting and epigastric abdominal pain. While undergoing evaluation, he was suddenly unresponsive, underwent CPR x3, found to have ventricular fibrillation rhythm and subsequently cardioverted with successful ROSC. [...]