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Does everyone faint during a tilt table test?

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Few patients faint during a tilt table test. The vast majority of patients that have a positive test do not faint because we can see their blood pressure falling and we can return the table to the horizontal position before the patient faints. Typically, patients experience lightheadedness while their blood pressure is falling and while we are lowering them to the horizontal position.

Rarely, a patient's blood pressure will fall so fast that they faint. These patients who do faint are usually only "out" for a few seconds and wake up as they are being lowered to the horizontal position. Patients have safety straps around them to prevent them from falling off the table if they do faint. There is always a doctor and a nurse in the room with the patient during the periods when the patient is tilted head-up to 60 degrees.

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