If you child has episodes of fainting, his or her healthcare provider may advise a tilt table test. Syncope can have many different causes. It may occur rarely or often. Causes of syncope related to the heart may include:
Other problems that can cause syncope include:
When a healthcare provider sees a child with fainting episodes, he or she will carefully check the child's medical history and do a physical exam. Tests include an electrocardiogram (ECG) and often an echocardiogram (ultrasound exam of the heart). If the exam or history do not reveal a cause for the fainting, and the child has no history of a heart condition, then further tests, such as a tilt table procedure, may be done.
A tilt table procedure may be done in a special clinic or in the hospital. It may take from 30 to 90 minutes. The test will be as follows:
Your child may feel tired and nauseated for a while after the test. He or she will be watched for about 30 to 60 minutes. You healthcare provider may give you specific instructions. Test results are available in a few days.
The test may not cause any symptoms, or changes in your child's ECG or blood pressure. If so, your child may need more tests or procedures to find the cause of the syncope.
Before you agree to the test or the procedure for your child make sure you know: