Cardiac and Peripheral Vascular Center
2nd Flr., Podium Building, The Medical City, Ortigas Ave. Pasig City
Operating Hours: Mon – Sat / 8 AM to 5 PM; Sunday and Holidays / 8 AM – 5 PM (but no special procedure)
8-988-1000/8-988-7000 ext. 6299

PATIENT SERVICES

Tilt Table Testing in the Philippines

What is a Tilt Table Test?

Tilt table testing is a diagnostic procedure used primarily to evaluate individuals who experience unexplained fainting (syncope) or near-fainting episodes. This test is particularly valuable in assessing how the heart and nervous system respond to changes in body position, specifically when transitioning from a lying down to an upright position.

During a tilt table test in the Philippines, the patient lies flat on a specialized table that can be tilted to simulate standing. The test begins with the patient lying down for a few minutes while their heart rate and blood pressure are monitored. After this initial period, the table is gradually tilted to an angle between 60 to 80 degrees, mimicking the act of standing up. This position is maintained for a duration of 20 to 45 minutes, during which vital signs are continuously monitored. The purpose is to observe how the body reacts to gravitational changes and to identify any abnormal responses that could indicate the cause of the fainting episodes.

Who Can Benefit from These Procedures?

Individuals who frequently experience unexplained fainting or lightheadedness can benefit significantly from a tilt table test procedure. This includes:

• Younger individuals: Those who are otherwise healthy but experience syncope without a clear cause.
• Elderly patients: Older adults who have experienced fainting spells that have not been explained by other cardiac evaluations.
• Patients with specific conditions: Individuals diagnosed with conditions like orthostatic hypotension, postural orthostatic tachycardia syndrome (POTS), or neurocardiogenic syncope may also find this test beneficial in managing their symptoms.

When Should You Have These Procedures Done?

Consultation with a doctor is needed before undergoing a tilt table test. If you have a history of fainting spells, especially if they occur frequently or without warning, it is advisable to discuss your symptoms with a cardiologist. They will review your medical history, conduct a physical examination, and may recommend the tilt table test if other causes have been ruled out. The test is often indicated when:

• There is a suspicion of syncope due to autonomic dysfunction.
• Other diagnostic tests have not provided a clear explanation for the fainting episodes.
• There is a need to differentiate between various types of syncope, such as vasovagal syncope versus cardiac-related fainting.

How Do These Procedures Work?

The tilt testing works by creating a controlled environment to simulate the effects of standing up. When the table is tilted, gravity causes blood to pool in the lower extremities, which can lead to a decrease in blood flow to the brain. This can trigger a response from the autonomic nervous system, which regulates heart rate and blood pressure.

During the test, healthcare providers monitor the patient’s heart rate, blood pressure, and electrocardiogram (ECG) readings. If the patient faints or exhibits other symptoms (like dizziness or lightheadedness), the table can be quickly returned to a flat position, allowing for immediate recovery. In some cases, if no symptoms occur during the initial tilt, medications may be administered to provoke a response, helping to gather more data on the patient's condition.

What Can You Expect After the Procedures?

After the tilt table test, patients are typically monitored for a short period to ensure they are stable before being discharged. Most individuals can return to their regular activities shortly after the test, although they may feel fatigued or slightly disoriented.

The results of the test will help your doctor determine the underlying cause of the fainting episodes. Depending on the findings, treatment options may include lifestyle modifications, medication adjustments, or further diagnostic testing. Patients are advised to follow up with their doctor to discuss the results and any necessary changes to their treatment plan.