3. During the test, you lie on a special table that can have your head raised so that it is elevated to 60 to 80 degrees above the rest of your body while a nurse or doctor monitors your blood pressure and heart rate. That’s because your brain isn’t getting enough blood for the moment. There will be 2 nurses or a nurse and a technician with you throughout the entire test. The tilt-table test can last about 90 minutes if you do both parts of it. *All health/medical information on this website has been reviewed and approved by the American Heart Association, based on scientific research and American Heart Association guidelines. We will try to keep you as comfortable as possible throughout the test. They measure your blood pressure and heart rate during the test to find out what’s causing your symptoms. Do not take a laxative. Tilt-table tests can be used to see if fainting is due to abnormal control of heart rate or blood pressure. Tell us about symptoms you have during the test. Pets and Your Health / Healthy Bond for Life, Institute for Precision Cardiovascular Medicine, Heart Attack Discharge Worksheet (Spanish) (PDF), 5 Ways to Lower Your Risk of a Second Heart Attack (PDF), 5 Ways to Lower Your Risk of a Second Heart Attack -  Spanish (PDF), Cardiac Rehab Referral Card (Spanish) (PDF), What Are the Warning Signs of Heart Attack? After recovery, most people can drive home and return to their normal activities. verify here. Plan on being at Cleveland Clinic for about 2 hours. Closed on Sundays. It is rare for severe symptoms to continue after the test. However, if you lose consciousness during the test, you may need to have more observation and testing. We do not endorse non-Cleveland Clinic products or services. You can eat normally after the test unless you have other tests scheduled that require you to fast. The nurse checks your blood pressure and your heart rate. If you are wearing a long-sleeved or tight-fitting shirt, you may need to change into a hospital gown for the test. It is important to tell the staff how you feel throughout the test. Your healthcare provider will talk to you about the risks and benefits of the tilt table test before you agree to have the test. 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. But if this happens, you may need an evaluation in the emergency department. Doctors use tilt-table tests to find out why people feel faint or lightheaded or actually completely pass out. 2. You lie on your back on a table. Feeling lightheaded or fainting may be caused by taking certain medicines, severe dehydration, abnormal heart rhythms (arrhythmias), hypoglycemia (low blood sugar), prolonged bed rest and certain nervous system disorders that cause low blood pressure. An IV (intravenous line) is put in your arm. Your physician will order a tilt table test if you have fainting spells, severe lightheadedness or dizziness that forces you to lie down. The goal of the test is to trigger your symptoms in a controlled setting. Do not stop taking any medication without first talking to your healthcare provider. *Red Dress ™ DHHS, Go Red ™ AHA ; National Wear Red Day® is a registered trademark. During the test, you lie on a table that is slowly tilted upward. This medicine is like the hormone adrenaline that your body releases when you are under stress. Limitations The main limitation of the test is that it does not provide a diagnosis, but rather information that is used along with your medical history to help your doctors determine that a diagnosis is more likely or less likely. The link provided below is for convenience only, and is not an endorsement of either the linked-to entity or any product or service. If your blood pressure drops and stays low during the test, you may faint or feel lightheaded. Do not eat or drink anything except small sips of water for 4 hours before the test. After about 5 minutes, the nurse tilts the table more. People rarely faint during tilt-table tests. This medicine may make you feel as if you are exercising. A tilt table test is a procedure used to find out why you have been fainting or feeling dizzy. A nurse will help you get ready for the test and answer any other questions you have. If you will have a morning test, your doctor may tell you not to eat or drink after midnight the night before. What do you think is causing me to feel lightheaded or faint? Patients with symptoms of dizziness or lightheadedness, with or without a loss of consciousness (), suspected to be associated with a drop in blood pressure or positional tachycardia are good candidates for this test. The test time may be shorter, depending on your symptoms and the way the test affects your blood pressure, heart rhythm and heart rate. You will always be upright during the test. If you schedule your test by phone, your appointment schedule will be mailed to you. You will be able to use the restroom before the test. You may feel tired and a little sick to your stomach right after the test. You will rest for 15 minutes. An IV will be placed in your arm. Please try not to talk unless you need to. Cleveland Clinic is a non-profit academic medical center. If your blood pressure does not drop after about 15 minutes, the nurse will lower the table and the test will be over. DO NOT eat or drink anything except small sips of water for 4 hours before the test. Tilt table: You will lie on the tilt table. If you cannot stand without help or weigh more than 325 pounds, please talk to the office when scheduling this appointment. You may not have any symptoms, or you may have pre-syncope symptoms (premonitory symptoms). Tilt table: You will lie on the tilt table. Don’t drive home if you have fainted. Electrodes: Small, sticky patches called electrodes will be placed on your chest. The nurse gives you medicine through your IV tube. 1-ranked heart program in the United States. The electrodes are connected to an electrocardiograph monitor (EKG) that records the electrical activity of your heart as a graph or series of lines on a moving strip of paper. A Tilt Table Test or TTT is widely used in making the diagnosis of Neurally (pronounced new-rully) ... not eat or drink after midnight to reduce the risk of nausea and vomiting during the test.

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