Tilting at windmills

Abstract

A 69-year-old man had numerous episodes of syncope over three years. A head-up tilt test had shown a mixed response and he was labeled as having neurocardiogenic syncope. Lifestyle, dietary and pharmacologic measures were ineffective. At electrophysiology study, an easily inducible, self-terminated AV nodal re-entrant tachycardia was induced. At 1 year follow-up after radiofrequency ablation, he is asymptomatic. © JAPI.