Tilt table test

Category: Heart Tests & Procedures · All heart tests & procedures

What it is

A tilt table test investigates fainting. You lie on a table that is tilted upright at an angle while your heart rhythm and blood pressure are monitored, to see whether the tilt reproduces a faint and why.

Why it is done

It is used for unexplained blackouts or recurrent faints when a drop in blood pressure or heart rate on standing (a reflex faint) is suspected.

How to prepare

You will usually be asked not to eat for a few hours beforehand. Tell the team about your medicines, as some may be paused for the test only if they advise it. Arrange a lift home in case you feel unwell afterwards.

What happens during the procedure

You lie on the table secured with straps and a footplate, with ECG and blood-pressure monitoring. The table tilts you head-up for up to about 45 minutes. If nothing happens, a medicine under the tongue may be used to provoke the response. If you faint, the table is lowered flat and you recover quickly.

Afterwards — recovery & results

Most people feel back to normal within minutes and can go home once the team is happy. The results help your doctor decide whether simple measures, medicines or further heart tests are appropriate.

Risks & considerations

The test intentionally tries to reproduce a faint in a safe, monitored setting. Brief nausea, sweating or fainting are expected possibilities rather than complications, and staff are present throughout.

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Frequently asked questions

Will I definitely faint?

No — many tests are negative, which is also useful information. If you do faint, you are already lying secured on the table and recover as soon as it is tipped flat.

Can I drive afterwards?

If you fainted during the test, ask the team about driving — fainting has legal implications for driving licences in many places, and your doctor will advise.

Related procedures — Heart Tests & Procedures

Angioplasty and stent (PCI)Cardiac ablation (catheter ablation)Cardiac catheterisation — right heart cath Cardiac event recorder / patch monitor Cardioversion (DC shock treatment)Coronary angiogram (cardiac catheterisation)

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Please note: This page is educational information about a medical procedure or test. It does not replace the instructions of your own care team, who know your situation and whose preparation, fasting and medication advice you should follow if it differs from anything here. If you have symptoms that worry you, or an appointment you do not understand, contact your clinical team.