Tilt test description | Method |
Passive drug free tilt | 40 min at 70° |
Isoproterenol (μg) tilt1-150 | 5 min tilt, 5 min supine 5 min 1 μg/min supine, 5 min 1 μg/min at 70° Infusion discontinued, supine 2 min 5 min 3 μg/min supine, 5 min 3 μg/min at 70° |
GTN tilt | 2 metred doses sublingual GTN spray supine 5 min supine then 20 min at 70° |
↵1-150 Based on Almquist et al.25
Patients should remain supine for 20 minutes before testing. Isoproterenol and GTN tilts should follow non-diagnostic passive drug free tilt where history is suggestive of vasovagal syncope. Tilt should be terminated if symptom reproduction with concomitant hypotension/bradycardia or adverse event develops. See text for further details.