Why You Should Choose Hospitals for Tilt Table Test in India?

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Introduction

If you are experiencing fainting spells, lightheadedness or dizziness, and the  Electrocardiogram (ECG) or Holter Monitor does not reveal an arrhythmia, the doctor may perform a tilt-table test, which enables him or her to monitor your blood pressure, heart rate, and heart rhythm while you are moved from lying down to an upright position. This test is based on the fact that normal physiological reflexes cause the heart rate and blood pressure to change when you change postures, ensuring that the brain receives sufficient blood supply. If these physiologic reflexes are inadequate, they can result in symptoms.

Why do People have the Tilt-Table Test?

Doctors use the tilt-table test to trigger your symptoms while watching you. They measure your blood pressure and heart rate during this test to find out what is causing your symptoms. The test is normal if your average blood pressure stays stable as the table tilts upward and your heart rate increases by a normal amount.

If your blood pressure drops and stays low during the test, then you may feel lightheaded or faint. This can happen either with an abnormally slow heart rate or with a fast heart rate. This is because your brain isn’t getting enough blood for the moment which gets corrected as soon as you are tilted back to the flat position. Your heart rate may not be adapting as the table tilts upwards, or your blood vessels may not be squeezing hard enough to support your blood pressure.

Fainting or feeling lightheaded may be caused due to severe dehydration, certain medicines, hypoglycemia (low blood sugar), abnormal heart rhythms (arrhythmias), certain nervous system disorders that cause low blood pressure and prolonged bed rest.

What to Expect Before Tilt-Table Test?

You may be asked not to eat or to refrain from taking certain medications before the test. Check with your physician for specific instructions.

Before the procedure, you will be asked to remove your clothing and to put on a hospital gown. You may be asked to remove any jewelry as well. You may receive an intravenous (IV) line that will enable the physician to give you medication if necessary. For the test, you will be on a specially designed table that moves to place you in positions from lying down to fully upright.

Complications & Risks

A positive tilt-table test result means that you have experienced symptoms during the test. While this can cause physical discomfort, it may provide your doctor with information to treat these symptoms so you can have less discomfort in the future. If you have coronary artery disease, the test may induce an abnormal heart rhythm.

As a result, you may feel a lingering tightness or pain in your chest. Medical staff members should be available to address your symptoms.

What to Expect During Tilt-Table Test?

For the first phase of the test, you will be placed at about a 30-degree angle (sort of like lying on a hill). Your blood pressure and heart rate will be recorded.

After about five minutes, you will be placed at a 60 to 80 degree angle. This places you almost in a standing position. There are straps to support you in this position and to hold you if you begin to experience any dizziness or fainting. Again, your blood pressure and heart rate will be recorded. You will probably stay in this position for anywhere from five minutes to 45 minutes. Your doctor may want to determine if you have a drop in blood pressure or heart rate after an extended period of time (which is not uncommon). Sometimes, if you don’t experience any symptoms, the entire test is repeated with a medication (Isuprel) that simulates the adrenaline in your body. This increased demand on your heart and blood pressure can help to induce symptoms, assisting your doctor in determining a cause for your symptoms. The test usually takes one to two hours.

What to Expect After Tilt-Table Test?

If you experienced symptoms during the test as a result of a drop in blood pressure (lightheadedness, dizziness, fainting, nausea), you may need about 5 to 10 minutes to recover. If you received medication to induce symptoms, you should stop feeling its effects only a few minutes after your doctor stops administering it.