Tilt-Table Testing Periprocedural Care

Updated: Mar 17, 2016
  • Author: James V Talano, MD, MBA, MM, FACC, FAHA; Chief Editor: Karlheinz Peter, MD, PhD  more...
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Periprocedural Care

Patient Education & Consent

Discuss the test findings with both the patient and a companion to increase proper understanding of the results.

Patient Instructions

To avoid dehydration on the day of the study in patients who have been NPO after midnight, or receiving diuretic therapy, infuse 250 mL of 0.9% saline prior to tilt testing. Administer IV saline cautiously in patients with heart failure or renal failure.

Hold all medications the night before the procedure and in the morning to increase the sensitivity of the study. However, if diuretic or antihypertensive medications are a suspected etiology of syncopal episodes, allow the patient to take medications as usual the morning of the procedure.

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Equipment

Equipment/personnel should be as follows: [7]

  • Tilt table

  • Blood pressure monitor

  • Heart rate monitor

  • ECG rhythm monitor

  • Oxygen saturation monitor

  • Crash cart with defibrillator available

  • Infusion pumps

  • Quiet, air conditioned room

  • Soft background music (optional)

  • Direct physician supervision and nurse or trained technician assistance

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Patient Preparation

Anesthesia

Anesthesia is not to be used for this procedure. The patient must remain alert and awake to detect the moment of unconsciousness.

Positioning

See the Technique section.

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Monitoring & Follow-up

Discharge patient to home if blood pressure and heart rate are back to baseline and patient is not symptomatic.

Advise patient not to drive for 2 hours after the procedure.

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