title: 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.
authors.affiliation: Arrhythmia Associates, Mumbai, India.
authors.forename: Yash
authors.initials: Y
authors.lastname: Lokhandwala
authors.forename: Mandar
authors.initials: M
authors.lastname: Shah
authors.forename: Gopi Krishna
authors.initials: GK
authors.lastname: Panicker
mesh_terms: D000368:Aged; D017115:Catheter Ablation / Q000379:methods*; D003937:Diagnosis, Differential; D004562:Electrocardiography; D022062:Electrophysiologic Techniques, Cardiac; D006801:Humans; D008297:Male; D013575:Syncope / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D013611:Tachycardia, Atrioventricular Nodal Reentry / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D018667:Tilt-Table Test; D016896:Treatment Outcome