The tilt table test is designed to find out the cause of syncope or fainting spells. During the test, the patient lies on a bed that is tilted at different angles (30 - 60 degrees) for a period of time to help the cardiologist determine the cause of the fainting spells.

Patient preparation

1. Take all medications as prescribed.
2. You should have an empty stomach during the test. Do not eat or drink anything after midnight the evening before your test. If you must take medications, drink only small sips of water to help you swallow your pills.
3. Drinking small amounts of water is allowed before the test.
4. Wear comfortable clothing. It is best not to wear jewelry or valuables.
5. Do not drink caffeine (coffee or tea) the morning of the test.

Tilt table test procedure
Your test will take place in a special room called the EP (electrophysiology) lab at Albany Medical Center or St. Peter's Hospital.

Before your test begins, a small needle will be inserted into a vein in your arm. This is to allow doctors and nurses to give you medications and fluids during the procedure if necessary.
A physician's assistant or registered nurse will prepare you for the test. A cardiologist will monitor your test. In order to monitor your vital signs and your reaction to the test, you will be connected to three monitors:

• Electrocardiogram: Your chest will be cleaned with an alcohol pad to remove skin oil at the areas where the electrodes will be placed. Men may need to have some chest hair shaved in order to help the electrodes adhere to the skin. Wires will then be attached to each of the electrodes in order to record and monitor your electrocardiogram (ECG) before and during the test.
• Oximeter monitor: A small clip will be placed on the tip of your finger to check the oxygen level of your blood.
• Blood pressure monitor: A blood pressure cuff will be placed on your arm to check your blood pressure intermittently throughout the study.

You will be awake throughout the entire test. You will be asked to lie quietly and keep your legs still. The table you are lying on will be tilted at different angles. You may feel nothing at all, or you may feel the same symptoms you feel when you experience a fainting spell. The test may even induce you to faint. Remember, you are being monitored and the doctors and nurses are in the room with you.
It is important to tell your doctor or nurse all symptoms you feel during the test. As part of the test, your doctor may give you a medication, which may make you feel nervous, jittery, or may cause your heart to beat faster or stronger. This feeling will go away as the medication wears off.

How long does the test take?

About 1 - 2 hours.

Can I go home after the test?

Most patients are able to go home after the test. However, you should make arrangements to have someone drive you home.

How do I get the results of my tilt table test?

After your cardiologist reviews the test results, a report will be mailed to your primary care physician. Your doctor will then discuss the test results with you.