A trained nurse or technician and a physician may do the test. You will be asked to lie down on a
special examining table with safety belts and a footrest. An intravenous line (IV) is inserted into
one of your arms and a blood pressure cuff (or similar device) is attached to your other arm to
monitor your blood pressure during the test. You are attached with electrodes (adhesive stickers)
to an electrocardiograph (ECG) recorder to monitor your heart rate.
For your safety, you are belted
onto the tilt table. It is then tilted upright to a 60-80 degree vertical angle for approximately 45
minutes. You are instructed to limit the movement of your legs and not to shift your weight during the
test. You will also be asked to describe any symptoms you may be experiencing during the test.
If after 45 minutes you have not experienced syncope, a medication, usually Isoproterenol/Isuprel
that is similar to adrenaline that the body naturally releases, is administered
while you are tilted again, for up to another
45 minutes while your heart rate and blood pressure continue to be monitored.
If you faint during the test, the table will be returned to a flat (horizontal) position and you
will be continued to be monitored closely while you recover. Recovery is usually immediate.