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U-M Health SystemThis information is approved and/or reviewed by U-M Health System providers but it is not a tool for self-diagnosis or a substitute for medical treatment. You should speak to your physician or make an appointment to be seen if you have questions or concerns about this information or your medical condition.
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Tilt Table Test, Adult

What is the tilt table test?
How is the tilt table test done?
Is the tilt table test dangerous?
How do I prepare for the test?
Where do I go for the test?
How do I get the results?
Related health topics

What is the tilt table test?

The tilt table test is performed to diagnose patients who have unexplained fainting spells. Fainting can be caused by many different underlying conditions. A tilt table test can help the electrophysiology (elect- roe-fizz-ee-ALL-oh-jee) or EPS team determine if fainting is related to heart arrhythmias (arr-ITH-mee-ahs).

How is the tilt table test done?

The test is a fairly simple procedure designed to stimulate a fainting spell so that it can be evaluated under controlled conditions. After you arrive in the EPS lab, electrodes will be attached to your chest and back. The electrodes will provide EKG read-outs of your heart's electrical activity during the procedure. An IV tube will be placed in your arm.

When the procedure begins, you will lie on your back on a special table. The EPS team straps you to the table so that your body stays in one position during the test. The table is tilted so that your head is above the rest of your body. The nurse may adjust the table once or several times to varying degrees. Each tilt lasts several minutes. As the force of gravity effects your body, the EPS team constantly monitors your EKG. They may also pass medication through your IV tube. When a fainting spell occurs, careful note is made of your heart's electrical activity, your blood pressure, and the medication you are receiving at the time. The fainting spell will last only a short time and you will recover quickly. After your heart has resumed normal activity, your IV tube will be disconnected.

You may be asked to stay in the recovery area for 30 to 60 minutes, so that your blood pressure and pulse can be monitored. Normally, you will leave for home soon after the test is completed.

Is the tilt table test dangerous?

The risks associated with tilt table testing are very few. The doctor will discuss them with you before you sign the form consenting to the procedure.

How do I prepare for the test?

To prepare for the test, you will receive instructions on what you can eat and drink in the hours before your tilt table test. If you are taking medications, you will also be given a schedule for them. Please be sure to follow these instructions carefully. They are very important.

Where do I go for the test?

Please report to the Cardiology Reception Area located on level B1 of the hospital. Be sure to bring your blue University of Michigan Hospitals registration card with you. You can get directions from the Information Desk or Wayfinder at the Main Entrance.

How do I get the results?

The results of the Tilt Table Test are usually available right after the test. The doctor will discuss them with you and provide them to your doctor. Depending on the results, your doctors may recommend that you change your medication, or return for more diagnostic test. If you encounter any problems after your tilt table test, or if you have any questions, please contact your doctor's office or the clinic nurse.
To find a doctor, call 1-800-211-8181 or click here .

Other tests and procedures:
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U-M Health System Related Sites:
U-M Cardiovascular Center
U-M Department of Internal Medicine

Other Related Web Sites:
American Heart Association - Tests to Diagnose Heart Disease
National Heart, Lung and Blood Institute - Heart and Vascular Diseases
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