India Cardiac Surgery Site is associated with experienced cardiologists to deliver the perfect treatment and recuperative plan. Before the surgery, we will educate the patient with every fact involved in surgery and maintain the transparency in procedure, facilities and the related costs. We provide quality services and also assists with arrangements by keeping the concerns of the international patients in mind, providing you the utmost care and professionalism.
How to Get Started?
Planning your medical trip to India is a very simple process with India Cardiac surgery site
1. You just need to fill in our enquiry form and one of our executives will contact you soon.
2. +91-9370586696 Call us at the given contact number for any assistance.
3. Complete information regarding surgery is provided on our website.Click to Here Fill up our Enquiry Form
If you are experiencing fainting spells, lightheadedness or dizziness, and the Electrocardiogram (ECG) or Holter Monitor does not reveal an arrhythmia, the doctor may perform a tilt-table test, which enables him or her to monitor your blood pressure, heart rate, and heart rhythm while you are moved from lying down to an upright position. This test is based on the fact that normal physiological reflexes cause the heart rate and blood pressure to change when you change postures, ensuring that the brain receives sufficient blood supply. If these physiologic reflexes are inadequate, they can result in symptoms.
Why do People have the Tilt-Table Test?
Doctors use the tilt-table test to trigger your symptoms while watching you. They measure your blood pressure and heart rate during this test to find out what is causing your symptoms. The test is normal if your average blood pressure stays stable as the table tilts upward and your heart rate increases by a normal amount.
If your blood pressure drops and stays low during the test, then you may feel lightheaded or faint. This can happen either with an abnormally slow heart rate or with a fast heart rate. This is because your brain isn’t getting enough blood for the moment which gets corrected as soon as you are tilted back to the flat position. Your heart rate may not be adapting as the table tilts upwards, or your blood vessels may not be squeezing hard enough to support your blood pressure.
Fainting or feeling lightheaded may be caused due to severe dehydration, certain medicines, hypoglycemia (low blood sugar), abnormal heart rhythms (arrhythmias), certain nervous system disorders that cause low blood pressure and prolonged bed rest.
Check out the Patient Testimonial, where the patient shares about their success stories from treatments through India Cardiac Surgery Consultants.
What to Expect Before Tilt-Table Test?
You may be asked not to eat or to refrain from taking certain medications before the test. Check with your physician for specific instructions.
Before the procedure, you will be asked to remove your clothing and to put on a hospital gown. You may be asked to remove any jewelry as well. You may receive an intravenous (IV) line that will enable the physician to give you medication if necessary. For the test, you will be on a specially designed table that moves to place you in positions from lying down to fully upright.
Complications & Risks
A positive tilt-table test result means that you have experienced symptoms during the test. While this can cause physical discomfort, it may provide your doctor with information to treat these symptoms so you can have less discomfort in the future. If you have coronary artery disease, the test may induce an abnormal heart rhythm.
As a result, you may feel a lingering tightness or pain in your chest. Medical staff members should be available to address your symptoms.
What to Expect During Tilt-Table Test?
For the first phase of the test, you will be placed at about a 30-degree angle (sort of like lying on a hill). Your blood pressure and heart rate will be recorded.
After about five minutes, you will be placed at a 60 to 80 degree angle. This places you almost in a standing position. There are straps to support you in this position and to hold you if you begin to experience any dizziness or fainting. Again, your blood pressure and heart rate will be recorded. You will probably stay in this position for anywhere from five minutes to 45 minutes. Your doctor may want to determine if you have a drop in blood pressure or heart rate after an extended period of time (which is not uncommon). Sometimes, if you don’t experience any symptoms, the entire test is repeated with a medication (Isuprel) that simulates the adrenaline in your body. This increased demand on your heart and blood pressure can help to induce symptoms, assisting your doctor in determining a cause for your symptoms. The test usually takes one to two hours.
What to Expect After Tilt-Table Test?
If you experienced symptoms during the test as a result of a drop in blood pressure (lightheadedness, dizziness, fainting, nausea), you may need about 5 to 10 minutes to recover. If you received medication to induce symptoms, you should stop feeling its effects only a few minutes after your doctor stops administering it.
- Will my medications interfere with the test?
- Very few medications actually interfere with a tilt table test. However, there are some medications which may affect the interpretation of the test. Patients should ask their physician or the physician ordering the tilt table test, whether or not they should continue to take their medications.
- If I have diabetes, should I take my medication on the morning of the test?
- Patients that have diabetes mellitus and are using insulin or taking medication to control their blood sugar should talk their physicians prior to their tilt table test. Usually, patients with diabetes will have to adjust their insulin or their medication on the day of their tilt table test in order to avoid their blood sugar from dropping too low.
- Can I drive home after the test?
- Many patients will drive home after the test. Since most patients return to feeling normal within 15 minutes after the test, there is no problem driving home after the test. The test itself, whether positive or negative, however, is quite tiring. For patients that live some distance from the hospital, we encourage them to bring someone else along with them who can drive them home in case the patient feels too tired to drive a long distance.
- How will I feel after the tilt table test?
- Many patients who have a positive test feel a little unsettled and sometimes nauseous for the first few minutes after the test. We allow patients to fully recover prior to having them stand up and get dressed. The vast majority of patients will return to feeling completely normal within 5 to 10 minutes after the test. Rarely, a patient may continue to experience weakness or fatigue for a longer period of time after the test. Patients that have a negative test often report that the test was tiring but otherwise feel fine.
- Does everyone faint during a tilt table test?
- Few patients faint during a tilt table test. The vast majority of patients that have a positive test do not faint because we can see their blood pressure falling and we can return the table to the horizontal position before the patient faints. Typically, patients experience lightheadedness while their blood pressure is falling and while we are lowering them to the horizontal position.
- What does a positive tilt-table test mean?
- A positive tilt table test means that a patient is susceptible to one of the reactions that can cause a drop in blood pressure. Some of the reactions can be dangerous and require treatment, other reactions are benign and may not require treatment. The symptoms that patients experience are varied and have included lightheadedness, nausea, a cold and clammy feeling, sweating, a “spacey” feeling, or a feeling like you are about to black out. Rarely, blood pressure falls without the patient developing symptoms. In these cases, we try to continue the test until the patient develops symptoms.Treatments vary from medication to a change in diet. The interpretation of the tilt table test is up to your physician. Your physician knows you best and is the best person to interpret your test and recommend treatment.
- Do I have to have an intravenous line placed?
- It is possible (although rare), that a patient may have a reaction during the test that would require us to administer a medication intravenously. Even though the chance of such a reaction occurring is extremely rare, we prefer to have the intravenous line already in place as a safety measure.
- Who needs a tilt table test?
- Patients that have symptoms suggestive of a sudden drop in blood pressure or heart rate may benefit from the evaluation of blood pressure/ heart rate regulation with a tilt table test. The tilt table test was originally designed to evaluate patients with fainting spells because many fainting spells are caused by a drop in blood pressure and heart rate. Tilt table testing may also be useful for patients who have symptoms of severe lightheadedness or dizziness which don’t actually cause them to faint, but force them to sit down or lie down. These symptoms, while not progressing on to an actual fainting spell, may still be indicative of a sudden drop in blood pressure.
- How long does the tilt-table test take?
- Plan to stay at least 1½ hours for the test.
- Can I return to work after a Tilt Table Test?
- You may return to work after your test, unless your doctor tells you otherwise.
- Why should a patient choose India Cardiac Surgery Consultants for cardiac care?
- India, Cardiac Surgery Consultants provide a vast number of high quality cardiac services. The cardiac team includes board-certified cardiologists and cardiac surgeons, specially trained nurses, and registered technologists. The cardiac team at uses the most advanced technologies available to perform the cardiac procedures at an affordable price and has a lower complication rate.
- What mode of payment do you accept?
- We accept different methods of payment like, cash, plastic cash, via net banking, etc.
Rarely, a patient’s blood pressure will fall so fast that they faint. These patients who do faint are usually only “out” for a few seconds and wake up as they are being lowered to the horizontal position. Patients have safety straps around them to prevent them from falling off the table if they do faint. There is always a doctor and a nurse in the room with the patient during the periods when the patient is tilted head-up to 60 degrees.
If you are really seeking for Tilt Table Test in India, kindly fill up the form for a free consultation with our expert cardiologists. You will be provided with thorough analysis and suggestions regarding the Tilt-Table Test you are seeking for.
Click to Here Fill up our Enquiry Form