Tilt Table Test

If you’re experiencing unexplained dizziness or fainting, a tilt table test may help identify the cause. It shows whether your symptoms are linked to changes in your blood pressure or heart rhythm.

At Westchester Medical Center, the flagship of the Westchester Medical Center Health Network, we provide tilt table testing led by cardiac electrophysiology specialists. This means you receive expert care from physicians trained to diagnose conditions involving your heart’s rhythm and nervous system.

Experienced radiologic technologist preparing adult female for radiography

A tilt table test checks how your body responds when you go from lying down to standing up. During the test, your heart rate and blood pressure are closely monitored to see how they change with position.

This procedure helps diagnose conditions such as vasovagal syncope, orthostatic hypotension, and autonomic dysfunction. It is often ordered when initial cardiac testing does not explain these symptoms.

What to Know About Your Tilt Table Test

Here’s what to expect before, during, and after your tilt table test.

How to Prepare for a Tilt Table Test

Follow these common steps to help your tilt table test go smoothly and give clear results:

Do not eat or drink for four to six hours before the test.
Wear comfortable, two-piece clothing.
Avoid lotion or oils on your skin.
Ask your doctor if you need to stop taking any medications beforehand.
Let your care team know if you’re pregnant or have had a recent illness.

What to Expect During the Tilt Table Test

The test takes place in our cardiac testing lab, performed by one of our cardiologists:

You will lie flat on a motorized table equipped with straps for safety. Your feet will be positioned on a foot rest.
You will have small ECG patches placed on your chest and a blood pressure cuff on your arm. These are used to track your heart rate and blood pressure throughout the test.
The table is slowly tilted—usually up to 60 to 70 degrees—to act like you’re standing.
You will remain upright for up to 45 minutes, or until symptoms and/or significant changes in heart rate or blood pressure appear.
Sometimes, medication is used to provoke a response if no symptoms occur initially.

The entire test typically lasts 45 to 90 minutes.

What to Expect Afterwards

You may feel tired or lightheaded for a short period after the test, but you can likely resume regular activity the same day.

The results and interpretation will be sent to your provider, who will review the tilt table test results with you. Based on your results, you may need more tests or a follow-up visit with a WMCHealth heart rhythm specialist. Or, a treatment plan may include hydration, medication or lifestyle adjustments.