Passive tilt table test
Evidence-based neurology checklist on passive tilt table test: Indications Unexplained recurrent syncope Single injurious syncope without cardiac disease or cardiac cause If diagnosis of syncope will alter treatment Differentiation of convulsive syncope from epilepsy Recurrent near syncope or…
Indications
- Unexplained recurrent syncope
- Single injurious syncope without cardiac disease or cardiac cause
- If diagnosis of syncope will alter treatment
- Differentiation of convulsive syncope from epilepsy
- Recurrent near syncope or dizziness
- Evaluation of syncope in autonomic failure
- Exercise induced syncope in absence of organic heart disease
- Evaluating recurrent unexplained falls
- Unexplained drop attacks
- When the history of blackouts is inadequate or absent
- Driving/occupational requirements to confirm diagnosis
Contraindications
Procedure
Response
Progression
The 20/15 GTN tilt table test (Italian protocol)
References
- Naschitz JE, Rosner I. Orthostatic hypotension: framework of the syndrome. Postgrad Med J 2007; 83:568-574.
- Parry SW, Reeve P, Lawson J, et al. The Newcastle protocols 2008: an update on head-up tilt table testing and the management of vasovagal syncope and related disorders. Heart 2009; 95:416-420.
- Grubb BP. Neurocardiogenic syncope and related disorders of orthostatic intolerance. Circulation 2005; 111:2997-3006.
- Kosinski D, Grubb BP, Karas BJ, Frederick S. Exercise induced neurocardiogenic syncope: clinical data, pathophysiological aspects, and potential role of tilt table testing. Europace 2000; 2:77-82.
- Gibbons CH, Freeman R. Clinical implications of delayed orthostatic hypotension: A 10-year follow-up study. Neurology 2015; 85:1362-1367.
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