Abstract
A 54-year-old woman was admitted to this hospital because of 2 months of episodes of dizziness resulting in falls, which occurred only when standing and were associated with diaphoresis, weakness in the legs, and palpitations. She had a history of borderline hypertension and atrial fibrillation. Physical and neurologic examinations were normal. Orthostatic vital signs showed decreased blood pressure and increased heart rate on standing. Symptoms persisted despite treatment with meclizine, metoprolol, fluid administration, and fludrocortisone. A diagnostic test result was received.
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