Tilt Table Testing

From Anvita Health Wiki

Contents 1 Indications 2 Procedure 3 More General Terms 4 Additional Terms 5 References

Indications

• evaluation of neurocardiogenic vasopressor dysfunction ( NVD)

Procedure

• patient is restrained on a table with feet on a footboard
• the table is abrubtly tilted 60-90 degrees from the supine position for 10-60 minutes
• heart rate, blood pressure & symptoms are monitored
• test is diagnostic if bradycardia or hypotension develops with symptoms of syncope or pre-syncope
• if hypotension or bradycardia do NOT occur, repeat testing with isoproterenol infusion

• Sensitivity: 50-70% (70-90% with isoproterenol infusion)
• Specificity: 95% (75% with isoproterenol infusion)
• False positives: 10-60% (depending upon study)

More General Terms

• clinical procedure

Additional Terms

• vasovagal reaction (fainting)

References

Medical Knowledge Self Assessment Program (MKSAP) 11, American College of Physicians, Philadelphia 1998

tilt table testing