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 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

References

1. Naschitz JE, Rosner I. Orthostatic hypotension: framework of the syndrome. Postgrad Med J 2007; 83:568-574.
2. 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.
3. Grubb BP. Neurocardiogenic syncope and related disorders of orthostatic intolerance. Circulation 2005; 111:2997-3006.
4. 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.
5. Gibbons CH, Freeman R. Clinical implications of delayed orthostatic hypotension: A 10-year follow-up study. Neurology 2015; 85:1362-1367. 
6. And 2 more. Subscribe to see the full list

Related checklists

• Syncope screening assessments
• Syncope: cardiac investigations