@misc{cogprints4166, volume = {3}, number = {4}, month = {October}, author = {Gonzalo Bar{\'o}n-Esquivias and Antoni Mart{\'i}nez-Rubio}, editor = {Balbir Singh and Yash Lokhandwala and Johnson Francis and Anup Gupta}, title = {Tilt Table Test: State of The Art}, publisher = {Indian Pacing and Electrophysiology Group}, year = {2003}, journal = {Indian Pacing and Electrophysiology Journal}, pages = {239--252}, keywords = {vasovagal syncope, tilt-table test}, url = {http://cogprints.org/4166/}, abstract = {Vasovagal syncope is the most frequent form of syncope of unknown aetiology. Since 1986, the tilt-table test has become an important tool in the diagnosis of vasovagal syncope. Before this test was introduced, several patients were submitted to a multitude of tests although most of them did little more than waste of resources. The similarity between clinical and induced vasovagal syncope during the test shows its value. The tilt-table test yields a range of positive results from 60\% to 70\%, with a specificity greater than 85\%. The results are also highly reproducible (data similar to provocation diagnostic tests such as the treadmill test) when drug-based protocols are used. This, with the absence of serious complications and very small number of side effects, makes probably the nitroglycerine protocol as the actually most recommended test for clinical practice.} }