History of Presenting Illness Physical Examination Basic Investigation Management Diagnosis Treatment Prognosis & Evidence-Based Info Summary Questions

The following describes six different methods of managing the patient. Which would you pursue? Click on each link to determine the results of your evaluation.

  1. Send home, stop Timolol and arrange for Holter monitor or Loop Recorder
  2. Electrophysiology Study
  3. Tilt Table Test
  • The results are weakly positive.
  • Patient is tilted and after 12 minutes, pressure drops and patient feels “moderately dizzy”.
  1. Echocardiogram
  2. Admit and monitor
  3. Electroencephalograph

Pre-tilt:
BP: 120/72
HR: 76/min

Post-tilt:
BP: 79/52
HR: 34/min, but no prolonged pauses