Doctors recommend a tilt-table test for patients they suspect may have certain medical conditions, including:
Doctors also call this condition the fainting reflex or autonomic dysfunction. It causes a person's heart rate to slow down instead of speed up when they stand, which keeps blood from pooling in the legs and arms. As a result, a person may feel faint.
A person with this syndrome can experience symptoms such as nausea, lightheadedness, and pale skin, followed by a loss of consciousness.
This disorder occurs when a person experiences changes when they suddenly stand up. Doctors associate POTS with an increase in heart rate up to 30 beats and feeling faint within 10 minutes of standing up from a sitting position.
Women between the ages of 15 and 50 are more likely to experience POTS, according to the National Institute of Neurological Disorders and Stroke.
The tilt-table test can simulate the effect of sitting to standing in a controlled environment, so a doctor can see how a person's body responds.
The purpose of the tilt-table test is for a doctor to view firsthand the symptoms you experience when changing position.
You might not feel ill effects during the procedure, but you may experience symptoms like dizziness, feeling faint, or even fainting. You may also feel very nauseated.
Because some people feel nauseated when they go from a sitting to standing position, a doctor may ask you not to eat two to eight hours before the test. This helps to minimize the chance you'll be sick to your stomach.
Your doctor will also review the medications you're currently taking and make recommendations about which ones you should take the night before or the morning of your test. If you have a question about a particular medication, ask your doctor.
You may want a person to drive you home after the procedure. Consider arranging for a ride beforehand to make sure someone is available.
The tilt table does exactly as the name suggests. It allows a medical professional to adjust the angle of the flat top while you're lying down.
When you go for a tilt-table test, here's what you can expect:
The test will typically last about an hour and a half if you don't have changes in your vital signs. If your vital signs do change or you don't feel well during the test, a nurse will stop the test.
After the test is over, or if you feel faint during the test, a nurse and other medical professionals may move you to another bed or chair. You'll likely be asked to remain in the facility's recovery area for 30 to 60 minutes.
Sometimes, people feel nauseated after they finish a tilt-table test. A nurse may give you anti-nausea medications if this is the case.
Most of the time, you can drive yourself home after the test. However, if you fainted or felt faint during the test, your doctor may want you to stay overnight for observation or have someone drive you home.
If you don't have a reaction to the changes in the table's positioning, doctors consider the test to be negative.
You may still have a medical condition related to position changes. This result means the test didn't reveal changes.
Your doctor may recommend other forms of testing to monitor your heart, such as a Holter monitor you wear to track your heart rate over time.
If your blood pressure changes during the test, the test results are positive. Your doctor's recommendations will depend on how your body reacted.
For example, if your heart rate slows, your doctor may recommend additional tests to look at your heart. They may prescribe a medication called midodrine to prevent blood pressure drops.
If your heart rate quickens, a doctor may prescribe medications — such as fludrocortisone, indomethacin, or dihydroergotamine — to reduce the likelihood that reaction will occur.
If you do receive a positive result, additional tests may be needed to look further into the heart.
While there are several tests to measure blood pressure changes brought on by a change in position, the tilt-table test may be a more appropriate method for diagnosing older adults, according to an article in the journal Clinical Interventions in Aging.
Prior to the test, a doctor will discuss how it may aid in your diagnosis and inform you of any potential risks.
If your test was negative but you're still having symptoms, talk to your doctor about other potential causes. They may review your medications or recommend other tests.