Title: Tilt Test Explained! MyHeart
Headings: Tilt Test – Tilt Table Test Explained!
Tilt Test – Tilt Table Test Explained!
What is a Tilt Test?
What Happens in the Tilt Test?
What Drugs May Be Given In The Tilt Test And Why?
Is Tilt Testing Safe?
How Often Are Tilt Tests Positive?
What Information Are We Looking For In A Tilt Test
Are Tilt Tests Accurate?

Content: The problem with neurally mediated syncope is that there is no clear definition of what it is! We basically label those with positive tilt tests as having neurogenic syncope. The big problem with this is that not all people with neurally mediated syncope will have a positive tilt test. In fact those with and without a positive test typically share the same symptoms. Scientifically speaking the sensitivity and the specificity of the test is not well known. Although having a positive tilt test can give a diagnosis of neurogenic syncope, a negative test doesn’t rule the diagnosis out. Another problem with tilt tests is that the results recorded don’t correlate with clinical outcomes. For example, just because the heart rate may go low in the tilt test, doesn’t mean that a low heart rate is causing the syncopal event. This makes it hard to prescribe therapies based on the test findings. Tilt table tests should be used with care, and not be the sole basis for treatment decisions.