A ‘Tilt’ test is an assessment of the changes in blood pressure and heart rate / rhythm in different positions. It can help identify the cause of blackouts and investigate symptoms caused by changes in posture.
Why do I need a Tilt test?
Normally your blood pressure and heart rate will change according to your body’s needs. However, at times they may not respond appropriately, and this may cause a sudden drop in your blood pressure and/or heart rate. This reaction may lead to a blackout (syncope) or an episode of dizziness or light-headedness (pre-syncope). Tilt testing allows your specialist to diagnose this type of response when it occurs.
What is involved in a Tilt test?
You will be asked to lie down on the bed. Electrodes (stickers) and leads will be attached to your chest in order to monitor your heart rate and rhythm during the test.
A small cuff to measure your blood pressure will be placed on your finger, you will feel this squeeze your finger throughout the test. A larger cuff will be placed on your upper arm which is usually inflated once prior to the test and may inflate several times during the test.
Safety belts will be placed around your body to make you feel secure. The bed has a foot plate at the bottom to rest your feet on.
You will be asked to stand still on the tilt bed and be quiet during the test as talking can disturb the information being recorded (however please inform staff if you are having any symptoms).
The bed will be tilted up to a 70 degree angle (almost upright) this is a supported standing position. You will remain in this position for up to 35 mins.
You may be given medication during your procedure, but this will be discussed with you prior to the test.
You may be asked to consent to a procedure called ‘carotid sinus massage’. This is when a doctor rubs the side of your neck. If this is felt to be appropriate it will be discussed with you prior to the test.
On completion of the test the table will be lowered until you are back in a lying position. The results of the Tilt test will be discussed with you.
IMPORTANT
Driving to your appointment
We recommend you do not drive to your Tilt Table Test and consider bringing someone with you.
Firstly, you may not feel well immediately following the test.
Also, depending on your symptoms and any findings in clinic, you may be told that you must report your symptoms to the DVLA and immediately stop driving.
