Upright Tilt Test

Before the tilt test starts, a doctor will assess to ensure that you are fit for the test. Thereafter, the Cardiac Physiologist/Technologist will place the electrocardiogram (ECG) electrodes on your chest, blood pressure cuffs on your hand and finger. An intravenous cannula will be inserted into a vein on your hand via an injection. This injection is necessary so that in the event of an emergency, we can inject life-saving medication via this intravenous access. You will then be strapped onto a motorised tilt table with foot support, after which you will be tilted to a certain pre-determined angle. At all times, your heart rate, blood pressure and heart tracing will be continuously monitored. 

Stage 1

Finger pressure will be applied to your artery of the neck (carotid artery), first on the right side and then on the left side (carotid sinus massage).

Stage 2

The table will be tilted upright to an angle of 60-70 degrees. You will remain in that position for up to 30 minutes. During the test, your ECG will be monitored continuously and your blood pressure and pulse rate will be measured at a 5-minute interval.

Stage 3

Upon completion of Stage 2, a single dose of a drug called Glycerin Trinitrate (GTN) will be sprayed under the tongue. Alternatively, another drug called isoprenaline will be given via the intravenous access obtained earlier. You may experience some palpitations (strong and rapid heart beating) or a mild headache which are some common side effects of this drug. These side effects are generally short acting and you will recover without the need to administer other drugs. This stage will last about 15 minutes.

This test will be terminated as soon as you experience giddiness or are about to faint. If no symptoms occur, the test will be stopped at the end of 45 minutes.