INDICATIONS: , The patient is a 22-year-old female with past medical history of syncope.  The patient is also complaining of dizziness.  She was referred here by Dr. X for tilt table.,TECHNIQUE: , Risks and benefits explained to the patient.  Consent obtained.  She was lying down on her back for 20 minutes and her blood pressure was 111/75 and heart rate 89.  She was standing up on the tilt tablet for 20 minutes and her heart rate went up to 127 and blood pressure was still in 120/80.  Then, the patient received sublingual nitroglycerin 0.4 mg.  The patient felt dizzy at that time and heart rate was in the 120 and blood pressure was 110/50.  The patient felt nauseous and felt hot at that time.  She did not pass out.,COMPLICATIONS:,  None.,Tilt table was then terminated.,SUMMARY:,  Positive tilt table for vasovagal syncope with significant increase of heart rate with minimal decrease of blood pressure.,RECOMMENDATIONS: , I recommend followup in the office in one week and she will need Toprol-XL 12.5 mg every day if symptoms persist.cardiovascular / pulmonary, vasovagal syncope, tilt table test, blood pressure, heart rate, dizziness, 