This doctor appointment I am not looking foward too. I have to have two more tests. The Tilt Table Test and the Cardiac Event Monitor for a MONTH!!!
Here are the details of both:
Tilt Table Test:
The tilt table test is designed to find out the cause of syncope or fainting spells. During the test, the patient lies on a bed that is tilted at different angles (30-60 degrees) for a period of time to help the cardiologist determine the cause of the fainting spells.
You need to have an empty stomach during the test. Do not eat or drink anything after midnight the evening before your test.
Before your test begins, a small needle will be inserted into a vein in your arm. This is to allow doctors and nurses to give you medications and fluids during the procedure if necessary.
A physician's assistant or registered nurse will prepare you for the test. A cardiologist will monitor your test. In order to monitor your vital signs and your reaction to the test, you will be connected to three monitors:
Electrocardiogram: Your chest will be cleaned with an alcohol pad to remove skin oil at the areas where the electrodes will be placed. Men may need to have some chest hair shaved in order to help the electrodes adhere to the skin. Wires will then be attached to each of the electrodes in order to record and monitor your electrocardiogram (ECG) before, during the test.
Oximeter monitor: A small clip will be placed on the tip of your finger to checks the oxygen level of your blood.
Blood pressure monitor: A blood pressure cuff will be placed on your arm to check your blood pressure intermittently throughout the study.
You will be awake throughout the entire test. You will be asked to lie quietly and keep your legs still. The table you are lying on will be tilted at different angles. You may feel nothing at all or you may feel the same symptoms you feel when you experience a fainting spell. The test may even induce you to faint. Remember, you are being monitored and the doctors and nurses are in the room with you. It is important to tell your doctor or nurse all of symptoms you feel during the test. As part of the test, your doctor may give you a medication. This medication may make you feel nervous, jittery, or you may feel your heart beat faster or stronger. This feeling will go away as the medication wears off. The test will last 1-2 hours.
Cardiac Event Monitor:
The Cardiac Event Monitor is used to detect abnormal heart rhythms. This small device records the heart's electrical activity (rhythm) at the push of a button. Patients trigger the device when they first begin to feel signs (an "event") such as:
Dizziness
Weakness
Lightheadedness
Heart racing and /or fluttering
The monitor stores the heart rhythm. Later that rhythm is sent via the telephone to the doctor for review. This test allows for on-demand heart monitoring outside the hospital/clinic setting when symptoms are noted and as you go about your normal routine. The test results help guide your doctor to choose treatment options to meet your specific needs.
The monitor, about the size of a deck of cards, is clipped to your waistband. This monitor is connected to a set of wires which attaches to two electrodes worn on your chest (like an EKG). The monitor can be worn for up to 30 days. It is removed during bathing.