TILT-TABLE TESTING - CONCEPTS AND LIMITATIONS

Recurrent unexplained syncope is a common and often frustrating clinic al problem. Over the last decade, head upright tilt fable testing has emerged as an important diagnostic method for the identification of in dividuals whose syncope is likely to be neurocardiogenic in origin. At the same time, tilt table testing, by providing syncopal episodes in a controlled setting, has allowed for a much greater understanding of these disorders. This article reviews the concepts behind tilt table t esting, as well as the uses and limitations of the evolving diagnostic modality.