Tabriz University of Medical Sciences Journal of Cardiovascular and Thoracic Research 2008-5117 12 1 2020 02 21 ST elevation myocardial infarction during head-up tilt testing 73 74 10.34172/jcvtr.2020.12 EN Lucas Simonetto Faganello https://orcid.org/0000-0001-8803-8115 Mauricio Pimentel Ana Paula Arbo Magalhães Leandro Ioschpe Zimerman Journal Article 10.34172/jcvtr.2020.12 2019 05 21 2019 08 02 We report a case of ST elevation myocardial infarction (STEMI) during head-up tilt testing (HUTT). A 54-year-old man was admitted to our emergency department after four episodes of syncope. Treadmill test and electrophysiological study were normal. During passive HUTT, the patient had inferolateral ST elevation. Coronary angiography showed two severe lesions in the right coronary artery and circumflex artery.