Last 8 years before presentation	Recurrent symptoms of traumatic drop attacks as well as dyspnoea, headaches, and chest pain after standing up.
Initial presentation	Regular diagnostic procedures for analysis of syncope—including neurological screening and loop recorder implantation—did not provide a diagnosis. Because of regular supraventricular tachycardias up to 180 b.p.m., metoprolol XR 100 mg q.d. was started and symptoms partially improved.
Two months later	Metoprolol is halved because of new symptoms of exercise induced shortness of breath but unfortunately symptoms increase again.
Several weeks later	Tilt testing shows orthostatic hypertension with blood pressure (BP) rising from 135/85 to 200/105 mmHg while provoking her familiar symptoms. Doxazosin 4 mg q.d. was prescribed.
Two months later	Absence of symptoms. Normal BP response at repeat tilt testing.
Two years later	Patient is still free of symptoms.