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← All services · Heart, lungs and nerves tests

Tilt table test

tilt table test · head-up tilt test · fainting test · orthostatic test

You lie on a special table with safety straps. The table is tilted almost upright, and the doctor watches your blood pressure and pulse.

For repeated fainting or near-fainting, to find the cause.

⏱ Duration: usually 30 to 60 minutes, sometimes up to 90; the report is usually ready the same day

Be sure to tell your doctor

How to prepare

  • Food. Usually no food for 2 to 4 hours before the test. Check with the clinic.
  • Medicines. Some medicines are sometimes skipped. Do not stop them on your own. Ask your doctor in advance.
  • Someone with you. Better to come with someone. You may feel weak after the test.
  • Clothing. Comfortable clothes, with no tight belt.

What to bring

  • Your referral
  • Past ECGs, Holter results, and echocardiograms
  • A list of your medicines
  • Someone to go home with

How it goes

  1. You lie on the table and are secured with straps
  2. ECG stickers and a blood pressure cuff are put on, sometimes an IV line too
  3. First, you lie quietly for a few minutes
  4. The table is slowly tilted almost upright
  5. You stand still on the table while the doctor watches your blood pressure and pulse
  6. Sometimes a medicine is given under the tongue and you are watched longer
  7. If you feel unwell, the table is lowered right away

What you'll feel

  • Standing still can be boring
  • You may feel weak, sick, or sweaty, like before fainting. Tell the doctor
  • Sometimes people faint. This is expected. The table is lowered, and you come round quickly

Afterwards

  • Lie down and rest until you feel better
  • Better not to drive on the test day
  • The report is usually ready the same day

Contact a doctor straight away if

  • Chest pain, strong irregular heartbeats, or repeated fainting at home: call emergency services

Common questions

What if I faint?

You are strapped in, and the table is lowered right away. You usually come round in seconds, and the doctor is right there.

Why bring on a faint on purpose?

To see what happens to your blood pressure and pulse at that moment. This makes the cause easier to find.