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Europace 2004 6(6):548-551; doi:10.1016/j.eupc.2004.08.003
© 2004 by European Society of Cardiology
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CASE REPORT

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

S. I. Goolamali*, V. L. Loh and M. Sopher

Cardiology Department, St George's Hospital Blackshaw Road, Tooting, London SW17 OQT, United Kingdom

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.

Key Words: head-up tilt test, myocardial infarction

*Corresponding author. 28 Bedford Road, Moor Park, Northwood, Middlesex HA6 2AZ, United Kingdom. Tel.: +44 1923 823599; fax: +44 1923 829229. E-mail address: mediderm{at}btinternet.com (S.I. Goolamali).


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