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Hi I had exactly the same thing happen to me on a long haul flight in February 2003. After several tests all of which were Ok I had a tilt test where things went wrong in the last stages of the test. My consultant advised me that watchful waiting was the best policy in my case, but I had a condition known as vaso-vagal syndrome which if it happened again could be treated with me having a pacemaker fitted. However following a prostate operation in November 2003 and over exerting my self before Xmas I collapsed. I have had giddy spells since and my doctor now advises that I proceed with the pacemaker option. I am going to review things in six weeks after another long haul flight. Hope this gives you some insight.