I see arrhythmia spec what should i ask him what if med are not helping had 2 synope last two years see nero for eeg rest fri. what should be done nex?

Tilt table test: Both the neurologist and the cardiologist will evaluate the syncope from different point of views. The history and the surrounding details of the events are very valuable to determine en each case which is the most likely cause. If the eeg is negative, the next step will be to do a tilt table test if a holter test, echo, carotid us has been negative, asuming the inial testing eas norml as well.

ILR: You probably would benefit from a tiny implantable monitor - ilr. It is ~ 2 cm long, 0.5 cm wide and is implanted through a minimal skin incision on your left chest close to the third rib and breastbone. It records heart rhythm for 2-3 years and can correlate it with a syncopal episode. The cause for ~ 30% of unexplained recurrent syncopal episodes can be diagnosed this way.