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Tilt table test
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<embedvideo service="youtube" dimensions="400" alignment="right" container="frame" description="This interactive video explains what you can expect during the tilt table test. By eMedTV">https://www.youtube.com/watch?v=5H5FZTAic7c</embedvideo> [[File:Tilt table.png|thumb|right|Source:www.medicalook.com]] A '''tilt table test''' is used to help diagnose forms of [[dysautonomia]] such as [[postural orthostatic tachycardia syndrome]] (POTS) or [[neurally mediated hypotension]] ([[NMH]]). Symptoms caused by dysautonomia include [[dizziness]], [[lightheadedness]], or fainting ([[syncope]]). Vital signs, especially heart rate and blood pressure are monitored as the table slowly raises the patient from lying to nearly standing position. The patient is strapped to the table in case the patient faints in the upright position. Other conditions that can be diagnosed with a tilt table test is cardiac arrhythmia.<ref> name="ClevelandClinic">https://my.clevelandclinic.org/health/diseases/6004-dysautonomia</ref> == Recommended test for ME/CFS == The [[Institute of Medicine]] Report recommends a tilt table test for diagnosing [[orthostatic intolerance]] in [[ME/CFS]].<ref>{{Cite web|url=http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/2015/MECFS/MECFS_ProposedDiagnosticCriteria | title = Proposed Diagnostic Criteria for ME/CFS | last = | first = | date = |website=nationalacademies.org|archive-url=|archive-date=|url-status=|access-date=}}</ref> ''Beyond Myalgic Encephalomylitis/Chronic Fatigue Syndrome: Redefining an Illness'' (2015) pgs. 111-119 covers Tilt Table Test: [http://www.nap.edu/read/19012/chapter/6#111 "Assessment of Orthostatic Intolerance and Autonomic Dysfunction in ME/CFS"]<ref>{{Cite journal | last = | first = | date = 2015-03-16 | title = Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome|url=http://www.nap.edu/read/19012/chapter/6#111|journal=National Academies of Medicine|language=en|volume=|pages=111|doi=10.17226/19012|via=}}</ref> == Risks == A tilt table test is generally safe, and complications are rare. But, as with any medical procedure, it does carry some risk. Potential complications include: * [[Nausea]] and [[vomiting]] after fainting * Weakness that can last several hours * Prolonged low blood pressure ([[hypotension]]) after the test These complications usually go away when the table is returned to a horizontal position.<ref name="mayo">{{Cite web|url=https://www.mayoclinic.org/tests-procedures/tilt-table-test/about/pac-20395124 | title = Tilt table test - Mayo Clinic|website=Mayo Clinic|language=en|access-date=2018-08-27}}</ref> == Research studies == *2018, The Abnormal Cardiac Index and Stroke Volume Index Changes During a Normal Tilt Table Test in ME/CFS Patients Compared to Healthy Volunteers, are Not Related to Deconditioning<ref>{{Cite journal | last =van Campen | first = C. (Linda) M.C. | author-link = Linda van Campen | last2 = Visser | first2=Frans | authorlink2 = Frans Visser | date = Nov 2018 | title = The Abnormal Cardiac Index and Stroke Volume Index Changes During a Normal Tilt Table Test in ME/CFS Patients Compared to Healthy Volunteers, are Not Related to Deconditioning | url =https://www.gavinpublishers.com/articles/Research-Article/Journal-of-Thrombosis-and-Circulation/The-Abnormal-Cardiac-Index-and-Stroke-Volume-Index-Changes-During-a-Normal-Tilt-Table-Test-in-ME-CFS-Patients-Compared-to-Healthy-Volunteers-are-Not-Related-to-Deconditioning?fbclid=IwAR2vbYszaecmwdgRPqbouESy_UyOSQlRbNzp5ZTJCTUjhdfWO7LFOghihX8|journal=Journal of Thrombosis and Circulation|volume=107|issue=|pages=|doi=10.29011/JTC-107.000007|quote=|via=}}</ref> - [https://www.gavinpublishers.com/articles/Research-Article/Journal-of-Thrombosis-and-Circulation/The-Abnormal-Cardiac-Index-and-Stroke-Volume-Index-Changes-During-a-Normal-Tilt-Table-Test-in-ME-CFS-Patients-Compared-to-Healthy-Volunteers-are-Not-Related-to-Deconditioning?fbclid=IwAR2vbYszaecmwdgRPqbouESy_UyOSQlRbNzp5ZTJCTUjhdfWO7LFOghihX8 (Full text)] *2020, Cerebral blood flow is reduced in ME/CFS during head-up tilt testing even in the absence of [[hypotension]] or tachycardia: A quantitative, controlled study using Doppler echography - [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7044650/#__ffn_sectitle (Full text)] *2020, Cerebral Blood Flow Is Reduced in Severe Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Patients During Mild Orthostatic Stress Testing: An Exploratory Study at 20 Degrees of Head-Up Tilt Testing<ref name="CBF2020">{{Cite journal | last =van Campen | first = C. (Linda) M.C. | authorlink = Linda van Campen | last2 = Rowe | first2 = Peter C. | authorlink2 = Peter Rowe | last3 = Visser | first3=Frans C. | author-link3 = Frans Visser | date = Jun 2020 | title = Cerebral Blood Flow Is Reduced in Severe Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Patients During Mild Orthostatic Stress Testing: An Exploratory Study at 20 Degrees of Head-Up Tilt Testing | url =https://www.mdpi.com/2227-9032/8/2/169|journal=Healthcare|language=en|volume=8|issue=2|pages=169|doi=10.3390/healthcare8020169|pmc=|pmid=|access-date=|quote=|via=}}</ref> - [https://www.mdpi.com/2227-9032/8/2/169 (Full text)] == See also == *[[NASA 10-minute lean test]] (NLT) *[[Heads-up tilt test]] *[[Orthostatic intolerance]] == Learn more == * [https://www.youtube.com/watch?v=5H5FZTAic7c Tilt Table Test]<ref>{{Cite web|url=https://www.youtube.com/watch?v=5H5FZTAic7c | title = Tilt Table Test | last = | first = | date = Aug 12, 2009 | website = YouTube|publisher=eMedTV|archive-url=|archive-date=|url-status=|access-date=}}</ref> - Video short by eMedTV * [https://www.mayoclinic.org/tests-procedures/tilt-table-test/about/pac-20395124 Mayo Clinic webpage for Tilt table test] * [https://myheart.net/articles/tilt-test-tilt-table-test-explained/ Tilt Test β Tilt Table Test Explained!]<ref>{{Cite news | url=https://myheart.net/articles/tilt-test-tilt-table-test-explained/ | title = Tilt Test Explained! MyHeart | last = Ahmed | first = Mustafa | date = 2015-02-13|work=MyHeart|access-date=2018-09-15|archive-url=|archive-date=|url-status=|language=en-US}}</ref> by Mustafa Ahmed for MyHeart == References == {{Reflist}} [[Category:Medical tests]]
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