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A 64-year-old woman with a history of syncope when standing associated with urinary incontinence, prolonged recovery and subsequent exhaustion, was referred to our service for evaluation.
She underwent a 20:15 glyceryl trinitrate head-up tilt test. This was unremarkable in the first 20 min but 90 s after the administration of glyceryl trinitrate her blood pressure fell from 125/82 mm Hg to unrecordable at 120 s associated with a …
Contributors IGM and AFJ planned the submission. IGM, AFJ and MN prepared the manuscript. IGM and MN prepared the image/figure. IGM acts as guarantor responsible for the overall content of the submission.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.