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A tilt table test is a diagnostic exam that checks how your heart rate and blood pressure respond when your body moves from lying down to standing upright. You lie flat on a motorized table, secured with safety straps, and the table tilts you to an almost upright position while a team monitors you. The test recreates the postural change that triggers symptoms in some people, allowing the response to be observed in a controlled setting.
A tilt table test diagnoses the cause of unexplained fainting and related symptoms. Doctors use it to evaluate:
It is usually ordered when fainting or dizziness keeps happening, and other tests have not explained why.
During a tilt table test, you lie on a table while sensors monitor your heart rhythm and blood pressure throughout the test. After a flat resting period, the table tilts upward so you are close to standing, and the team watches for changes in your readings and for any symptoms such as lightheadedness or fainting.
If the first phase does not produce a clear result, you may be given a medication that stimulates the heart to see how your body responds. The table can return you to flat quickly if you feel faint.
A tilt table test usually takes about 30 to 90 minutes, depending on whether medication is needed. The upright tilt phase often lasts up to 45 minutes on its own, and extra time is added for setup, the resting period, and recovery afterward. Most people go home the same day.
A positive tilt table test means your blood pressure or heart rate changed in a way that reproduced your symptoms during the tilt. For example, a sharp drop in blood pressure with fainting points to vasovagal syncope, while a large jump in heart rate without a blood pressure drop suggests POTS. A negative result means your readings remained stable and the test did not trigger symptoms. Your doctor will interpret the findings alongside your history and other tests.
The right provider will review your symptoms, order the test when appropriate, and explain what the results mean for you. Use Zocdoc to find a tilt table test near you and book a visit based on your insurance and availability.
The content herein is provided for general informational purposes only and is not a substitute for professional medical advice, diagnosis or treatment. Medical information changes constantly, and therefore the content on this website should not be assumed to be current, complete or exhaustive. Always seek the advice of your doctor before starting or changing treatment. If you think you may have a medical emergency, please call your doctor or 9-1-1 immediately.