The tilt table test is a diagnostic test done to assess syncope. In this test, the person is made to lie on a table which can be adjusted from horizontal to vertical position, which simulates standing up from sitting position. This test is mostly done in case if the reason for fainting is unknown.
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I was prescribed an ECG to determine the possibility of postural orthostatic tachycardia syndrome. Could you please look into the reports and explain what it suggests?
Query: Hello doctor, My doctor prescribed an ECG to determine whether there is a possible postural orthostatic tachycardia syndrome diagnostic or something else. I received the following results for my stress test and resting ECG, "baseline ST segment abnormalities with the presence of inverted T waves. Du... Read Full »
Answer: Hello, Welcome to icliniq.com. Baseline ST segment abnormalities with an inverted T wave could mean a narrowing in your heart vessel, reducing oxygen flow to some parts of the heart. It can occur due to atherosclerosis or fat buildup in the heart. The stress test has ruled out the chance of narrow... Read Full »
Are presyncope episodes for long-duration suggestive of tumor or MS (multiple sclerosis)?
Query: Hi doctor, Over the past three years, I have random and progressively worsening presyncope episode, and I just feel lightheaded in general. I have had a normal EEG and a normal 14 day Holter monitor. An electrophysiologist said I have dysautonomia. Is it possible to have missed a tumor or MS? Pleas... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern and would explain that it is less likely that your symptoms are caused by MS (multiple sclerosis) or a tumor. I agree with what your doctor said. Low blood pressure or orthostatic hypotension can cause such a clinical situation. For this rea... Read Full »
I did a tilt tablet test to diagnose POTS. Please give your opinion.
Query: Hi doctor, I had a tilt table test recently. The interpretation was normal. I had a rest time of ten minutes to relax before having a tilt. My resting heart rate was 80 beats per minute before doing the test. My heart rate got raised to 126 beats per minute during the tilt. At home, I had a resting... Read Full »
Answer: Hi, Welcome to icliniq.com. A tilt table test (TTT) is usually done to diagnose vasovagal syncope and postural drop in blood pressure. In vasovagal syncope, when the heart rate decreases or when the blood pressure drops, both lead to dizziness and syncope (transient loss of consciousness). Normall... Read Full »