The head-up tilt test ? a cause of myocardial infarction | Zendy

Sacha I Goolamali | Zendy; V LOH | Zendy; Mark Sopher | Zendy

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The head-up tilt test ? a cause of myocardial infarction

Author(s) -

Sacha I Goolamali,

V LOH,

Mark Sopher

Publication year - 2004

Publication title -

ep europace

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.119

H-Index - 102

eISSN - 1532-2092

pISSN - 1099-5129

DOI - 10.1016/j.eupc.2004.08.003

Subject(s) - medicine , provocation test , myocardial infarction , cardiology , coronary artery disease , complication , syncope (phonology) , alternative medicine , pathology

INFARCTION: A 74-year-old man with no known ischaemic heart disease presented to the Cardiology Department with a history of multiple episodes of pre-syncope. During a head-up tilt test to investigate a neurocardiogenic cause, after glyceryl trinitrate provocation he became profoundly hypotensive and unwell. Subsequent ECGs and Troponin-T levels confirmed a Non ST-Elevation Myocardial Infarction. Angiography confirmed coronary artery disease. This case highlights a rare complication of tilt testing and emphasises that the test is not without risk.

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