Tilt Table Test - The Exam for the Diagnosis of Vasovagal Syncope!

Thank you for joining us today to learn about the tilt test, a diagnostic exam used to identify the cause of symptoms such as dizziness and fainting.

The tilt test is a non-invasive exam that involves placing the patient on a special bed in an inclined position of 70 degrees while monitoring heart rate and blood pressure at different times during the exam. The purpose of the exam is to replicate the situation in which the patient experiences symptoms such as dizziness and fainting, to evaluate the body's response.

The test is recommended for patients who have experienced recurrent fainting in the absence of structural heart disease, those who have had a single episode of fainting during high-risk activities, those who need to differentiate between syncope associated with tonic-clonic movements of epilepsy, those who experience unexplained falls, and those with frequent syncope associated with psychiatric disorders.

To undergo the test, the patient must fast for at least 6 hours and bring a spare change of clothes. It is also necessary for the patient to come accompanied, as the test can cause discomfort and dizziness.

During the exam, the patient will remain in an inclined position for about 40 minutes. The doctor may also administer specific medications to make the heart beat faster, as if the patient were exercising. Throughout the exam, the doctor will ask if the patient is feeling well and if any symptoms, such as dizziness or palpitations, occur.

It's important to note that the tilt test is a safe and vital exam for identifying the causes of dizziness and fainting in patients with a history of these symptoms. If you experience recurrent dizziness or fainting, or if you engage in high-risk activities, it's essential to seek medical advice and discuss the possibility of undergoing this exam.

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[carla_shipp]

I just had this test done and it came back positive. I have to see my cardiodoctor in the morning.

[tbjylud]

My tilt table test results say:

Baseline tilt followed by sublingual nitroglycerin.
At 0 degrees: BP: 113/78, HR: 72, NSR, aSx
At 80 degrees: BP: 124/89, HR: 87, NSR, Sx: similar to Sx at home but worse, light headed, "brain fog", tingly feeling "all over" w/o CP
At 90 degrees: BP: 133/98, HR up to 93, NSR, Sx improved from 80 degrees

Nothing changed much, so nitro given:

Sublingual NTG 0.4mg administered: Initial HR increase to 118, BP 130/79, after 1 minute patient developed vasovagal response with reduction in BP to 97/56, HR 40. Presyncopal Sx, laid down immediately with improvement in Sx and HR within 1 minute to BP 130/79, HR 85.

Conclusions: Hypotension and relative or absolute bradycardia provoked during protocol consistent with a neurocardiogenic response.

Does that mean vasovagal syncope or neurocardiogenic syncope?