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Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance

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77-year-old female with syncope.

Mahmoud A Abdelsalam¹, Jeffrey B Geske¹

¹Department of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota, USA.

Heart (British Cardiac Society)

|September 25, 2016

Summary

This summary is machine-generated.

A 77-year-old female experienced syncope while eating. Echocardiogram revealed hypertrophic cardiomyopathy with an apical pouch, explaining the cardiac event.

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Area of Science:

Cardiology
Internal Medicine

Background:

A 77-year-old female with hyperlipidemia and hypertension presented with syncope during a meal.
Initial evaluation included physical examination, ECG, and Holter monitoring.

Observation:

ECG showed normal sinus rhythm with left ventricular hypertrophy.
Holter monitoring revealed rare premature ventricular complexes but no heart block or ventricular tachycardia.
Transthoracic echocardiogram was performed for further evaluation.

Findings:

The echocardiogram demonstrated hypertrophic cardiomyopathy with an apical pouch.
This specific cardiac morphology is suspected to be the cause of the patient's syncope.

Implications:

Understanding the specific cardiac abnormalities, such as hypertrophic cardiomyopathy with an apical pouch, is crucial for diagnosing and managing syncope.
This case highlights the importance of comprehensive cardiac imaging in unexplained syncopal episodes.