A 68‐year‐old patient was referred for recurrent episodes of syncope associated solely with air travel. He did not experience episodes of syncope in other situations and was well otherwise. His ECG, echocardiogram, exercise stress test and MIBI were unremarkable. It was determined that the patient had been experiencing repeated vasovagal syncope from an uncommon trigger of air travel. He responded to nonpharmacological measures to treat vasovagal syncope and doses of fludrocortisone the night before air travel, and was thereafter able to travel successfully.
Srivatsav et al. (Thu,) studied this question.