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What Does My Tilt-table Test Report Indicate?
Question: 46 year old male..business owner with large amounts of stress. I tested positive for Tilt test. EKG normal, Echo Normal, Stress Echo Normal and CT normal calcium score 0. Blood Pressure 114 over 85. Tilt test was yesterday, still a bit lightheaded today. Question, possible that virus is causing I seem to have sinus pressure and such.
Brief Answer:
Following answers to your queries...
Detailed Answer:
Hi,
I have gone through your medical history carefully and understood your concerns.
1. Having a positive Tilt test is indicative for vaso-vagal or neurogenic syncope.
2. Carotid sinus hypersensitivity is another to exclude, however, it occurs immediately due to neuro-vascular reflexes that would cause reduction in cerebral perfusion and low heart rate.
I advise to run Doppler ultrasound of neck blood vessels and carotid massaging test for further evaluation and to exlude carotid hypersensitivity .
3. Another cause is water and blood electrolyte disbalance. This is why it's important to be hydrated and to take electrolyte supplements.
Hope it was of help!
Wish you health!
Dr.Benard
Following answers to your queries...
Detailed Answer:
Hi,
I have gone through your medical history carefully and understood your concerns.
1. Having a positive Tilt test is indicative for vaso-vagal or neurogenic syncope.
2. Carotid sinus hypersensitivity is another to exclude, however, it occurs immediately due to neuro-vascular reflexes that would cause reduction in cerebral perfusion and low heart rate.
I advise to run Doppler ultrasound of neck blood vessels and carotid massaging test for further evaluation and to exlude carotid hypersensitivity .
3. Another cause is water and blood electrolyte disbalance. This is why it's important to be hydrated and to take electrolyte supplements.
Hope it was of help!
Wish you health!
Dr.Benard
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
understood. I forgot to ad that eye sight seems off focus time isn't as fast as normal with a cloudy feeling. fyi discharge say Neurogenic Syncope
Brief Answer:
Neurogenic syncope is a harmless and is the most common type of syncope...
Detailed Answer:
Hi back,
As I mentioned earlier a positive tilt test is indicative for neurogenic syncope.
Neurogenic syncope is a harmless syncope and the most common type of syncope. As a rule it doesn't require a specific treatment. All efforts are made to avoid any damage during syncope episodes.
If i was your doctor I would try to identify your fainting trigger. As a fainting trigger may serve:
- Standing for hours
- Heat exposure
- Having blood drawn (The sight of blood)
- Fear of injury
- Valsalva maneuver (such as straining to have a bowel movement).
As a rule i recommend to avoid the above situation.
Wish you health!
Dr. Benard
Neurogenic syncope is a harmless and is the most common type of syncope...
Detailed Answer:
Hi back,
As I mentioned earlier a positive tilt test is indicative for neurogenic syncope.
Neurogenic syncope is a harmless syncope and the most common type of syncope. As a rule it doesn't require a specific treatment. All efforts are made to avoid any damage during syncope episodes.
If i was your doctor I would try to identify your fainting trigger. As a fainting trigger may serve:
- Standing for hours
- Heat exposure
- Having blood drawn (The sight of blood)
- Fear of injury
- Valsalva maneuver (such as straining to have a bowel movement).
As a rule i recommend to avoid the above situation.
Wish you health!
Dr. Benard
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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