Preparation for investigations

List of investigations

Tilt Test (Head-Up Tilt Table Test)

The tilt test is a cardiological investigation used to evaluate the causes of syncope (fainting), dizziness, or presyncope by analyzing blood pressure and heart rate responses to changes in body position from supine (lying down) to upright standing. The test is performed under medical supervision with continuous monitoring.

Recommendations before the tilt test

• Arrive fasting or after a very light meal (at least 4 hours before the test).
• Avoid coffee, black tea, energy drinks, and alcohol for 24 hours prior to the examination.
• Do not smoke on the day of the test.
• Continue medications only according to your physician’s instructions. Certain medications (such as antihypertensives or beta-blockers) may be temporarily discontinued — this is decided individually in advance.
• Ensure adequate rest the day before the test.
• Wear comfortable clothing; avoid tight garments that may interfere with monitoring or positioning on the table.

Required documents and information

• A complete list of current medications.
• Recent cardiological investigations (ECG, Holter ECG, echocardiography).
• Referral or recommendation from the treating physician / cardiologist.

What happens during the test

• You will be positioned on a special tilt table and secured with safety straps.
• Continuous monitoring of ECG, blood pressure, and heart rate is performed.
• The table is gradually tilted to an almost upright position to simulate standing.
• During the test, it is important to report any symptoms such as dizziness, nausea, sweating, palpitations, or blurred vision.
• In some cases, medication may be administered to assess cardiovascular response.

The total duration of the investigation is approximately 30–60 minutes, depending on the protocol used and the individual physiological response.

After the investigation

• After completion of the test, you will remain under medical observation for a short period until full stabilization.
• The cardiologist performing the test will analyze the collected data and provide a medical report, along with general recommendations if necessary.
• The patient will subsequently present the results to the referring physician for integrated clinical interpretation and establishment of the appropriate treatment plan.