Sample Type / Medical Specialty: Cardiovascular / Pulmonary
Sample Name: Tilt Table Test - 1
Tilt table test. A patient with past medical history of syncope. The patient is also complaining of dizziness.
(Medical Transcription Sample Report)
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:
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,
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