An expert consensus statement outlines the minimum requirements and indications for Tilt Table Testing in diagnosing disorders that may cause transient loss of consciousness.
This consensus statement provides standardized recommendations and minimum requirements for performing tilt table testing in the evaluation of transient loss of consciousness.
An expert committee was formed to reach consensus on the use of Tilt Table Testing (TTT) in the diagnosis of disorders that may cause transient loss of consciousness (TLOC) and to outline when other provocative cardiovascular autonomic tests are needed. While TTT adds to history taking, it cannot be a substitute for it. An abnormal TTT result is most meaningful if the provoked event is recognised by patients or eyewitnesses as similar to spontaneous ones. The minimum requirements to perform TTT are a tilt table, a continuous beat-to-beat blood pressure monitor, at least one ECG lead, protocols for the indications stated below and trained staff. This basic equipment lends itself to perform (1) additional provocation tests, such as the active standing test carotid sinus massage and autonomic function tests; (2) additional measurements, such as video, EEG, transcranial Doppler,
Thijs et al. (2021) conducted a review in transient loss of consciousness (TLOC). Tilt Table Testing (TTT) was evaluated. An expert consensus statement outlines the minimum requirements and indications for Tilt Table Testing in diagnosing disorders that may cause transient loss of consciousness.