Hi there, thanks for sharing your experience. It sounds like you may be feeling anxious or uncertain about what this means. A positive tilt table test can indicate a condition such as orthostatic hypotension or vasovagal syncope, which affect how your body regulates blood pressure. It's crucial to keep in mind that this test result is just one piece of the puzzle and your cardiologist will be able to provide more comprehensive insights based on your overall health history. Don't hesitate to make a list of any questions or concerns you might have to discuss with them at your appointment. Remember, it's okay to ask for clarifications until you fully understand what's going on. Wishing you all the best with your appointment.
My tilt table test results say: Baseline tilt followed by sublingual nitroglycerin. At 0 degrees: BP: 113/78, HR: 72, NSR, aSx At 80 degrees: BP: 124/89, HR: 87, NSR, Sx: similar to Sx at home but worse, light headed, "brain fog", tingly feeling "all over" w/o CP At 90 degrees: BP: 133/98, HR up to 93, NSR, Sx improved from 80 degrees Nothing changed much, so nitro given: Sublingual NTG 0.4mg administered: Initial HR increase to 118, BP 130/79, after 1 minute patient developed vasovagal response with reduction in BP to 97/56, HR 40. Presyncopal Sx, laid down immediately with improvement in Sx and HR within 1 minute to BP 130/79, HR 85. Conclusions: Hypotension and relative or absolute bradycardia provoked during protocol consistent with a neurocardiogenic response. Does that mean vasovagal syncope or neurocardiogenic syncope?
Based on the tilt table test results you've described, the findings suggest that your symptoms are consistent with a neurocardiogenic syncope, which is often used interchangeably with vasovagal syncope in clinical practice. The test indicates that when you were subjected to a change in position and given nitroglycerin, which can provoke a vasovagal response, you exhibited a significant drop in blood pressure and heart rate, leading to presyncopal symptoms. These reactions are characteristic of a vasovagal or neurocardiogenic syncope, where there is a sudden decrease in heart rate and blood pressure, leading to reduced blood flow to the brain and consequently, the symptoms you experienced. In essence, the term "vasovagal syncope" is commonly used when describing a syncopal episode triggered by a particular stressor or orthostatic stress, which appears to be the case based on your tilt table test with the administration of nitroglycerin. This reaction is a type of neurocardiogenic response, and so both terms describe the same physiological event, though from slightly different perspectives. Neurocardiogenic syncope is the broader term for a reflex syncope that involves both the nervous system and the heart, while vasovagal syncope is a subset of this, typically triggered by specific vasovagal stimuli. Your tilt table test results support the diagnosis of this type of syncope.
I just had this test done and it came back positive. I have to see my cardiodoctor in the morning.
Hi there, thanks for sharing your experience. It sounds like you may be feeling anxious or uncertain about what this means. A positive tilt table test can indicate a condition such as orthostatic hypotension or vasovagal syncope, which affect how your body regulates blood pressure. It's crucial to keep in mind that this test result is just one piece of the puzzle and your cardiologist will be able to provide more comprehensive insights based on your overall health history. Don't hesitate to make a list of any questions or concerns you might have to discuss with them at your appointment. Remember, it's okay to ask for clarifications until you fully understand what's going on. Wishing you all the best with your appointment.
@@theheartrhythmcenter , the plumbing of my heart is working great!
I fainted after a minute
My tilt table test results say:
Baseline tilt followed by sublingual nitroglycerin.
At 0 degrees: BP: 113/78, HR: 72, NSR, aSx
At 80 degrees: BP: 124/89, HR: 87, NSR, Sx: similar to Sx at home but worse, light headed, "brain fog", tingly feeling "all over" w/o CP
At 90 degrees: BP: 133/98, HR up to 93, NSR, Sx improved from 80 degrees
Nothing changed much, so nitro given:
Sublingual NTG 0.4mg administered: Initial HR increase to 118, BP 130/79, after 1 minute patient developed vasovagal response with reduction in BP to 97/56, HR 40. Presyncopal Sx, laid down immediately with improvement in Sx and HR within 1 minute to BP 130/79, HR 85.
Conclusions: Hypotension and relative or absolute bradycardia provoked during protocol consistent with a neurocardiogenic response.
Does that mean vasovagal syncope or neurocardiogenic syncope?
Based on the tilt table test results you've described, the findings suggest that your symptoms are consistent with a neurocardiogenic syncope, which is often used interchangeably with vasovagal syncope in clinical practice. The test indicates that when you were subjected to a change in position and given nitroglycerin, which can provoke a vasovagal response, you exhibited a significant drop in blood pressure and heart rate, leading to presyncopal symptoms. These reactions are characteristic of a vasovagal or neurocardiogenic syncope, where there is a sudden decrease in heart rate and blood pressure, leading to reduced blood flow to the brain and consequently, the symptoms you experienced.
In essence, the term "vasovagal syncope" is commonly used when describing a syncopal episode triggered by a particular stressor or orthostatic stress, which appears to be the case based on your tilt table test with the administration of nitroglycerin. This reaction is a type of neurocardiogenic response, and so both terms describe the same physiological event, though from slightly different perspectives. Neurocardiogenic syncope is the broader term for a reflex syncope that involves both the nervous system and the heart, while vasovagal syncope is a subset of this, typically triggered by specific vasovagal stimuli. Your tilt table test results support the diagnosis of this type of syncope.