SJMC Tilt Table Test

What is a Tilt Table Test?

A tilt table test is a diagnostic procedure used to evaluate the cause of unexplained fainting (syncope). It helps determine how your body responds to changes in position, particularly from lying down to standing up. The test involves lying on a table that can be tilted to different angles while your heart rate, blood pressure, and symptoms are closely monitored.

What to Expect During the Test?

Preparation

Fasting: Do not eat or drink anything for 6 hours before the test.
Branula insertion: A small tube may be inserted into your vein, usually in your hand or arm, to give medications or fluids directly into your bloodstream.
Clothing: Wear comfortable clothing
Medications: Tell your healthcare provider about any medications you are taking.

Procedure:

You will lie down on the table, and safety straps will be placed around you to prevent falling.
Electrodes will be attached to your chest to monitor your heart rate, and a blood pressure cuff will be placed on your arm.
The table will slowly tilt you to an upright position (typically between 60 to 80 degrees) and you will remain in this position for a set period, usually 20 minutes, or until you feel dizzy faint.
If you are still feeling well, you may be given a medication called Glyceryl Trinitrate (GTN) spray under your tongue and tilted for another 15-20 minutes.
Once you feel dizzy or faint, the table will be returned to a flat position for your recovery where you will be monitored for a short period.

After the Test:

You can usually resume your normal activities immediately after the test unless otherwise instructed by your healthcare provider.

Purpose of the Procedure

Diagnose the Cause of Fainting:

To identify if fainting episodes are due to vasovagal syncope or other conditions affecting blood pressure and heart rate.

Assess Blood Pressure and Heart Rate Responses:

To observe how your cardiovascular system responds to changes in posture from lying down to standing up.

Guide Treatment Plans:

To help your doctor develop a treatment plan tailored to your specific condition, which may include lifestyle changes, medications, or other therapies.

What are the benefits of a Tilt Table Test?

Helps in diagnosing the cause of unexplained fainting.
Can identify abnormal blood pressure or heart rate responses.
Assists in developing an appropriate treatment plan.

What are the risk of a Tilt Table Test?

There is a possibility of fainting during the test, which is the intended reaction to help diagnose your condition
You may experience dizziness, nausea, sweating, palpitations, or other symptoms during the test.
Although very rare, complications such as prolonged fainting, low blood pressure, or abnormal heart rhythms may occur, which are closely monitored by the healthcare team.