II. Indications

  1. Suspected Orthostatic Hypotension despite normal bedside Orthostatic Blood Pressure testing
  2. Physical limitations preclude standing Vital Signs
  3. Chronic Orthostatic Intolerance
    1. Evaluate for Postural Orthostatic Tachycardia Syndrome (POTS)
  4. Unexplained transient loss of consciousness
  5. Autonomic disorder monitoring of therapeutic response

III. Procedure: Preparation

  1. Perform test in quiet, comfortable room
  2. Rest supine for 5 minutes before test
  3. Attach automatic Heart Rate monitoring
  4. Attach automatic Blood Pressure monitoring and set for desired interval

IV. Procedure: Tilting

  1. Start after obtaining baseline Heart Rate and Blood Pressure while lying supine for 5 minutes
  2. Slowly Tilt Table from supine to 60-80 degrees nearly upright position
  3. Obtain Blood Pressure and pulse after in upright position for 3 minutes

V. Interpretation

  1. Normal test (negative test)
    1. Diastolic Blood Pressure increases >20mmHg
    2. Heart Rate increases by 10-15 bpm
  2. Orthostatic Hypotension
    1. Systolic Blood Pressure drops >20mmHg or
    2. Diastolic Blood Pressure drops >10mmHg
  3. Dysautonomic Syncope
    1. Immediate and persistent drop in systolic and diastolic Blood Pressure
    2. Heart Rate does not increase to compensate
  4. Neurocardiogenic Syncope (Vasovagal Syncope)
    1. Onset after 10 minutes of testing
    2. Sudden drop in Blood Pressure results in symptoms
    3. Paradoxical Bradycardia accompanies the Blood Pressure drop
  5. Postural Orthostatic Tachycardia Syndrome (POTS)
    1. Heart Rate increases at least 30 beats per minute or
    2. Heart Rate increases over 120 and persists

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Related Studies

Ontology: Tilt-Table Test (C0242880)

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
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