Tilt test (passive orthostatic test)
Tilt test (passive orthostatic test) involves a rapid, passive, and controlled change from a horizontal to a vertical body position using special equipment — a tilt table (verticalization table).
The tilt test helps in diagnosing:
Syncopal states (fainting or near-fainting / syncope or presyncope)
Arrhythmia
Heart disease
Neurological disorders
Additional services
What are the indications and contraindications for a treadmill test?
Single syncopal episodes (fainting) of unclear etiology in patients with a high degree of risk (e.g., real or potential risk of trauma, occupational aspects)
Recurrent syncope in patients without heart disease
Recurrent syncope in patients with heart disease after other causes (arrhythmias and conduction disorders) have been ruled out
The need to clarify the hemodynamic type of syncope
Differential diagnosis of fainting with seizures in epilepsy
Repeated unexplained blackouts
Unstable angina
Circulatory failure, high functional class (NYHA)
Arterial hypertension stage 3
Condition after acute cerebrovascular accident (less than 6 months)
Severe respiratory failure
Acute infectious diseases
Endocrine diseases in the stage of decompensation (diabetes mellitus)
Mental disorders
Passive orthostatic test in Kyiv
How is a passive orthostatic test performed?
When the patient changes position, blood is deposited in the lower part of the body and the pressure in the right heart chambers decreases. In patients with neurocardiogenic syncope, this can lead to sudden hypotension and loss of consciousness.
During the diagnostic procedure, blood pressure and ECG are monitored. Decoding of ECG data and the time elapsed before loss of consciousness provide information about the state of the nervous, cardiovascular and endocrine systems. The results of the tilt test are crucial for confirming and clarifying the causes of syncope and contribute to the correct choice of treatment.
The procedure consists of several stages:
- Preparation: the patient is placed on a tilt table, a blood pressure cuff is applied, and an ECG device is connected.
- Baseline measurements: the patient lies quietly for 5–20 minutes, after which baseline heart rate and blood pressure are recorded.
- Tilt: the table is quickly moved to an angle of 60°–80°. The patient remains in this position for 20–45 minutes.
- Provocation (if needed): if the test is inconclusive, medications (e.g., nitroglycerin) may be administered to provoke a response.
- Completion: the patient is returned to a horizontal position if they feel weak, begin to lose consciousness, or after the allotted time has passed.
Importantly:
- The examination is performed on an empty stomach.
- 2 days before the examination, the patient should stop taking medications that affect the heart rhythm and heart rate (the decision is made by the attending physician).
Contact us
Tilt test (passive orthostatic test)
You can take a tilt test in Kyiv at the Dokos Medical Medical Center, which is located on the left bank of Kyiv (Desniansky district, Chernihivska metro station).
Our specialists
Our advantages
Why we are trusted
Expertise and experience
“Docos Medical” is a cardiology clinic. Our cardiologists are highly qualified specialists with many years of experience who are constantly improving their skills in accordance with European standards.
Modern equipment
Our clinic uses modern equipment that ensures high accuracy and detail of results.
Affordable prices
At Docos Medical, you receive quality cardiology services at reasonable prices, making medical care accessible to everyone.
Speed and accuracy of examination
The results of the study are provided as quickly as possible, which allows you to quickly receive recommendations and begin the necessary treatment.
Individual approach
Our specialists take into account the specifics of your health condition, providing recommendations based on the test results.
Convenient location
Desnyanskyi district of Kyiv – 3 minutes from Chernihivska metro station, parking available.
Prices for services
Treadmill test services
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Service name
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Price (UAH)
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|---|---|
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Tilt test (passive orthostatic test)
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3500
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