A tilt table is a test used to diagnose people with unexplained fainting spells
(syncope). It provides continuous monitoring of the patient's heart rhythm,
pulse and blood pressure to diagnose abnormalities in the blood pressure regulating
system.
This is done by placing patients on a table and slowly increasing the angle
of the table. An IV is in place to give fluids and medication if needed. Isuprel
or Adenosine may be given during the test if determined necessary by supervising
physician. It is contraindicated in patients with unstable angina,
severe cerebral vascular disease and in patients with diminished vascular flow
with compromise.
- No Eating or Drinking after Midnight for a Morning Test
- Afternoon Tests May Have Clear Liquids for Breakfast but Nothing
After 7:00 a.m.
- Take Medication as Usual, Unless Otherwise Indicated by Physician
- Do Not Take Viagra Medication 24 Hours Prior to the Test
- Wear Slacks if Possible - No One-Piece Jump Suits
During the test, the patient and performing physician will sign an informed
consent before the procedure begins. Sticky electrode patches are attached
to your chest and attached to an EKG machine to monitor their heart throughout
the procedure. A resting EKG and blood pressure are taken before the procedure
for comparison along with a brief medical history. An IV is inserted to provide
fluids and to allow for the injection of medication if needed. You are then
strapped onto a special table that tilts at varying degrees. When the physician
arrives, the table will be tilted 60-80 degrees for 30-60 minutes until the
patient has symptoms or the physician terminates the test. The physician may
decide to give Isuprel or Adenosine IV to increase your sensitivity if necessary.
After the test, you will rest for an additional few minutes until heart rate,
blood pressure or EKG changes have returned to baseline. The physician may
give you a preliminary report. Otherwise, the entire test will be reviewed
by the physician and a report dictated. This report will be sent to the ordering
physician and any referring physicians noted. The ordering physician will then
discuss the results with you.
When coming to St. Rita's for this test, you should register with Outpatient
Registration on the first floor of the Medical Center behind the Information
Desk. Plan to arrive 45 minutes before the scheduled test time. After registering,
you will be directed to the stress lab in Cardiopulmonary Services on the second
floor. The entire procedure will take about one to one and half hours.
