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Updated: Aug 6, 2026
Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance
Published on: March 21, 2013
[Tilt-table-testing in childhood: non-invasive, continuous hemodynamic monitoring]
R DallaPozza1, A Kleinmann, S Bechtold
1Abteilung für Pädiatrische Kardiologie der Ludwig-Maximilians-Universität München. Robert.DallaPozza@med.uni-muenchen.de
Background:
Approximately 15% of children experience a syncope before the age of 18 years. Tilt table testing represents the diagnostic gold standard whenever a neurocardiogenic spell is suspected. Two methods of continuous, non-invasive hemodynamic monitoring during the tilt table test are presented and their usefulness for clinical routine is discussed.
Patients:
4 patients with suspected neurocardiogenic syncope.
Methods:
Tilt table testing according to standard protocol; non-invasive, continuous blood-pressure measurement by finger cuffs; impedance cardiography for the assessment of cardiac output.
Results:
In 3 patients a syncope occured during the tilt table test. In pt. 4 characteristic symptoms led to diagnosis prior to syncope. Every patient represents a definite type of neurocardiogenic syncope (cardioinhibitory with asystolia, vasodepressory, mixed as well as postural tachycardia syndrome).
Conclusions:
Both monitoringmethods allow a differentiated analysis of the cardiovascular interactions during the tilt table test. Thus, specific regulatory patterns may be diagnosed and specific treatment strategies may be offered.
