II. Indications
- Suspected Orthostatic Hypotension despite normal bedside Orthostatic Blood Pressure testing
- Physical limitations preclude standing Vital Signs
- Chronic Orthostatic Intolerance
- Evaluate for Postural Orthostatic Tachycardia Syndrome (POTS)
- Unexplained transient loss of consciousness
- Autonomic disorder monitoring of therapeutic response
III. Procedure: Preparation
- Perform test in quiet, comfortable room
- Rest supine for 5 minutes before test
- Attach automatic Heart Rate monitoring
- Attach automatic Blood Pressure Monitoring and set for desired interval
IV. Procedure: Tilting
- Start after obtaining baseline Heart Rate and Blood Pressure while lying supine for 5 minutes
- Slowly Tilt Table from supine to 60-80 degrees nearly upright position
- Obtain Blood Pressure and pulse after in upright position for 3 minutes
V. Interpretation
- Normal test (negative test)
- Diastolic Blood Pressure increases >20mmHg
- Heart Rate increases by 10-15 bpm
-
Orthostatic Hypotension
- Systolic Blood Pressure drops >20mmHg or
- Diastolic Blood Pressure drops >10mmHg
- Dysautonomic Syncope
- Immediate and persistent drop in systolic and diastolic Blood Pressure
- Heart Rate does not increase to compensate
-
Neurocardiogenic Syncope (Vasovagal Syncope)
- Onset after 10 minutes of testing
- Sudden drop in Blood Pressure results in symptoms
- Paradoxical Bradycardia accompanies the Blood Pressure drop
-
Postural Orthostatic Tachycardia Syndrome (POTS)
- Heart Rate increases at least 30 beats per minute or
- Heart Rate increases over 120 and persists
VI. References
Images: Related links to external sites (from Bing)
Related Studies
| Definition (MSH) | A standard and widely accepted diagnostic test used to identify patients who have a vasodepressive and/or cardioinhibitory response as a cause of syncope. (From Braunwald, Heart Disease, 7th ed) |
| Concepts | Diagnostic Procedure (T060) |
| MSH | D018667 |
| SnomedCT | 14769009, 412788004 |
| English | Test, Tilt-Table, Tilt Table Test, Tilt-Table Test, Tilt test, table testing tilt, table tilt test, tilt table test, test tilt-table, testing tilt table, table test tilt, table test tilted, table tests tilt, tilt-table test, Tilt table test (procedure), Tilt table test, tilt test (procedure), Tilt test (procedure), tilt test, Test;tilt |
| Italian | Tilting test, Test del lettino inclinabile, Tilt test, Test dell'inclinazione passiva |
| German | Kipptisch-Test, Kipptisch-Untersuchung, Tilt-Test, Kipptischuntersuchung |
| Japanese | 傾斜試験, ｹｲｼｬｼｹﾝ |
| Swedish | Tippbrädetest |
| Czech | test na pohyblivém stole, Test na sklopním stole, test na nakloněné rovině hlavou vzhůru |
| Finnish | Kallistuskoe |
| Russian | SERDTSA FUNKTSIONAL'NYI TEST NA NAKLONNOM STOLE, СЕРДЦА ФУНКЦИОНАЛЬНЫЙ ТЕСТ НА НАКЛОННОМ СТОЛЕ |
| French | Tilt-test, Test d'inclinaison, Test de la table basculante |
| Polish | Test pochyleniowy, Próba pionizacji biernej, Test pionizacyjny |
| Hungarian | Tilt table vizsgálat |
| Norwegian | Vippebordtest, Test på vippebord |
| Dutch | kanteltafeltest, Kieptafeltest, Test, kieptafel-, Tilttafeltest |
| Spanish | Tilt table test (procedure), Tests de Mesa Inclinada, prueba de basculación (procedimiento), prueba de basculación, Prueba de mesa inclinada, Pruebas de Mesa Inclinada |
| Portuguese | Teste de Trendelenburg, Teste de mesa inclinável, Teste da Mesa Inclinada |
