Tilt Table Test  (HUT Head Up Tilt)  Kiran rai Bsc  .CVT(II YEAR)
<ul><li>The Tilt Table Test is used to determine a cause of syncope (fainting or loss of consciousness).  </li></ul><ul><l...
<ul><li>When this happens there is a reduced amount of blood to the brain causing one to faint. This type of syncope is ca...
 
<ul><li>The Tilt Table Test is performed to reproduce (bring on) symptoms of syncope while the person is being closely mon...
 
<ul><li>Preparation for the Tilt Table Test </li></ul><ul><li>Generally, there is no eating or drinking 4-6 hours prior to...
<ul><li>-  make the  Patient  lie down  </li></ul><ul><li>on a special examining  table  </li></ul><ul><li>withsafety belt...
<ul><li>- For safety, patient are belted onto the tilt table. </li></ul><ul><li>- It is then tilted upright to a 60-80 deg...
<ul><li>even  after 45 minutes if patient will not experienced syncope, a medication,  </li></ul><ul><li>usually  Isoprote...
<ul><li>Typical symptoms of vasovagal or neurocardiogenic syncope includes:   </li></ul><ul><li>Nausea  </li></ul><ul><li>...
<ul><li>Risks </li></ul><ul><li>The Tilt Table Test is generally a safe test. Patient are closely monitored and belted saf...
<ul><li>Conclusion for the Tilt Table Test </li></ul><ul><li>If the patient faint during the test, it is considered &quot;...
<ul><li>INDICATIONS   -, RECURRENT SYNCOPE OR PRESYNCOPE  </li></ul><ul><li>SINGLE SYNCOPE WITH SERIOUS CONSEQUENCES </li>...
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Head up tilt table test .kiransotang

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this is from kiran rai course of cvt manipal university india

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Head up tilt table test .kiransotang

  1. 1. Tilt Table Test (HUT Head Up Tilt) Kiran rai Bsc .CVT(II YEAR)
  2. 2. <ul><li>The Tilt Table Test is used to determine a cause of syncope (fainting or loss of consciousness). </li></ul><ul><li>it is related to an abnormal nervous system reflex causing the heart to slow and the blood vessels to dilate (open up) lowering the blood pressure. </li></ul>
  3. 3. <ul><li>When this happens there is a reduced amount of blood to the brain causing one to faint. This type of syncope is called vasovagal, neurocardiogenic or abnormal vasoregulatory syncope </li></ul><ul><li>it is considered benign -not dangerous , except for the injuries that can happen when one faints unexpec </li></ul>or
  4. 5. <ul><li>The Tilt Table Test is performed to reproduce (bring on) symptoms of syncope while the person is being closely monitored. </li></ul><ul><li>A Tilt Table Test is performed to evaluate one of the causes of syncope (fainting). </li></ul><ul><li>Vasovagal or neurocardiogenic syncope is when the heart rate slows and the blood pressure decreases because the blood vessels dilate (open) as a result of an abnormal reflex of the nervous system. </li></ul>
  5. 7. <ul><li>Preparation for the Tilt Table Test </li></ul><ul><li>Generally, there is no eating or drinking 4-6 hours prior to the test to limit symptoms of nausea/vomiting </li></ul><ul><li>physician should see whether patient need to discontinue any of routine medications prior to the test </li></ul>
  6. 8. <ul><li>- make the Patient lie down </li></ul><ul><li>on a special examining table </li></ul><ul><li>withsafety belts and a foot- </li></ul><ul><li>rest. </li></ul><ul><li>- An intravenous line (IV) is </li></ul><ul><li>inserted into one of patient </li></ul><ul><li>arms and a blood pressure cuff is attached to other arm to monitor blood pressure during the test. </li></ul><ul><li>- attached with electrodes to an electrocardiograph ( ECG ) recorder to monitor heart rate. </li></ul>
  7. 9. <ul><li>- For safety, patient are belted onto the tilt table. </li></ul><ul><li>- It is then tilted upright to a 60-80 degree vertical angle for approximately 45 minutes. </li></ul><ul><li>- Patient are instructed to limit the movement of legs and not to shift weight during the test. Patient should asked to describe any symptoms he/she may be experiencing during the test. </li></ul>
  8. 10. <ul><li>even after 45 minutes if patient will not experienced syncope, a medication, </li></ul><ul><li>usually Isoproterenol/Isupre l that is similar to adrenaline that the body naturally releases, is administered </li></ul><ul><li>and again patient should be tilted for up to another 45 minutes while heart rate and blood pressure continue to be monitored. </li></ul><ul><li>If the patient faint during the test, the table will be returned to a flat (horizontal) position and patient should be continued to be monitored closely till recover. Recovery is usually immediate. </li></ul>
  9. 11. <ul><li>Typical symptoms of vasovagal or neurocardiogenic syncope includes: </li></ul><ul><li>Nausea </li></ul><ul><li>Sweatiness </li></ul><ul><li>Pallor </li></ul><ul><li>Lightheaededness </li></ul><ul><li>Sensation of palpitations </li></ul><ul><li>Near-fainting </li></ul><ul><li>Fainting </li></ul><ul><li>Symptoms frequently happen when standing for long periods or changing positions from lying down to standing. </li></ul>
  10. 12. <ul><li>Risks </li></ul><ul><li>The Tilt Table Test is generally a safe test. Patient are closely monitored and belted safely onto the table. </li></ul><ul><li>patient may faint during the test. Most people recover once the table is lowered to a horizontal (flat) position. </li></ul><ul><li>In rare cases a medication has to be administered to help increase the heart rate and blood pressure. </li></ul>
  11. 13. <ul><li>Conclusion for the Tilt Table Test </li></ul><ul><li>If the patient faint during the test, it is considered &quot;positive&quot; for vasovagal or neurocardiogenic syncope. </li></ul><ul><li>If do not experience fainting during the test it is considered &quot;negative&quot; </li></ul><ul><li>And should do other tests may need to undergo to determine the cause of your fainting </li></ul>
  12. 14. <ul><li>INDICATIONS -, RECURRENT SYNCOPE OR PRESYNCOPE </li></ul><ul><li>SINGLE SYNCOPE WITH SERIOUS CONSEQUENCES </li></ul><ul><li>AUTONOMIC FUNCTION TESTS </li></ul><ul><li>SITUATIONAL SYNCOPE </li></ul><ul><li>OH </li></ul><ul><li>POTS </li></ul><ul><li>CAROTID SINUS HYPERSENSITIVITY. </li></ul><ul><li>CONTRAINDICATIONS - SEVERE LV OUTFLOW OBSTRUCTION, SEVERE CORONARY /CAROTID STENOSIS </li></ul>
  13. 15. thankyou
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