Tilt Table Test For Vasovagal Syncope

A randomized double blind placebo controlled study of permanent cardiac pacing for the treatment of recurrent tilt induced vasovagal syncope.

Tilt table test for vasovagal syncope. Your doctor might recommend a tilt table test if you have repeated unexplained episodes of lightheadedness dizziness or fainting. The head up tilt table test should only be judged positive if symptoms reproducing entirely the patients original pre syncopal or syncopal symptoms are accompanied by arterial hypotension bradycardia or both. A tilt table test is used to evaluate the cause of unexplained fainting. The upright tilt table test is sometimes performed as part of the evaluation of a patient with suspected vasovagal or orthostatic syncope.

Removing the tilt restores the heart rate and blood pressure to normal and quickly abolishes symptoms. 3 28 44 haemodynamic changes in isolation should not prompt a diagnosis of vasovagal syncope. If no heart problems appear to cause your fainting your doctor may suggest you undergo a tilt table test. Vasovagal syncope a dramatic fall in blood pressure due to a reflex that causes sudden dilation of the blood vessels in the legs and a slowing of the.

You lie flat on your back on a table. It is also useful for the faint to be induced and for patients to be able to confirm. We have used the hut protocol which has been reported previously. A technician monitors your heart rhythms and blood pressure to see if the postural changes.

After 10 minutes of rest period in supine position the patients were tilted to 70 on an electric tilt table with foot plate support and body straps for up to 30 minutes or until positive responses appeared. Hut was conducted on patients who had fasted at least 4 hours. The vasovagal syncope and pacing trial synpace. Tilt table testing may be helpful in patients in whom the diagnosis of vasovagal syncope is suspected but not certain.

The sensitivity of the test may be increased by administering glyceryl trinitrate 400 micrograms nitrolingual spray 20 minutes into the test continuing for another 20 minutes or until typical symptoms syncope occur. This however is not the case if you have orthostatic hypotension or vasovagal syncope the primary conditions the tilt table test can help identify. For a tilt table test. Eur heart j 2004.

The test can help determine if the cause is related to your heart rate or blood pressure. If no heart problems appear to cause your fainting your doctor may suggest you undergo a tilt table test. The results of a tilt table test are based on whether you faint during the test and what happens to your blood pressure and heart rate.