Tilt Table Testing In Calgary

Objective testing for dizziness, fainting, and dysautonomia.

At Anew Chiropractic Clinic in Calgary, Alberta, we offer tilt table testing to evaluate autonomic nervous system function and diagnose conditions such as POTS (Postural Orthostatic Tachycardia Syndrome) and dysautonomia.

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What Is Tilt Table Testing?

Tilt table testing is a procedure used to evaluate causes of unexplained fainting (syncope) and assess how the body responds to changes in position. During the test, a patient lies on a table that tilts from a horizontal to a vertical position while their heart rate and blood pressure are monitored. This helps doctors determine if the body’s autonomic nervous system is functioning properly and can reveal issues like orthostatic hypotension or vasovagal syncope.

Male doctor performing tilt table testing on a female patient

What does it measure?

Orthostatic Intolerance

Blood Pressure Responses

Autonomic Functions

What to expect during the test?

1. The testing will start with the patient lying flat on their back on a table for 10 minutes to establish a baseline resting heart rate.

2. Next, the patient will be raised to 45 degrees, followed by 70 degrees, with readings taken at each position.

3. The patient will then remain at a 70-degree angle, with heart rate and blood pressure readings taken every 2 minutes for a total of 10 minutes.

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✅Suspected POTS - Postural Orthostatic Tachycardia Syndrome

✅Lightheadedness with postural changes

✅Syncope (fainting) of unknown origin

✅Exercise intolerance

✅Large variances in resting heart rate (including rapid heart rate)

✅Dysautonomia

Tilt Table testing may provide diagnostic insights if you are experiencing any of the following:

Is Tilt Table Test Right For You?

Tilt Table testing may provide diagnostic insights if you are experiencing any of the following:

  • Suspected POTS - Postural Orthostatic Tachycardia Syndrome

  • Lightheadedness with postural changes

  • Syncope (fainting) of unknown origin

  • Exercise intolerance

  • Large variances in resting heart rate (including rapid heart rate)

  • Dysautonomia

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Frequent Asked Questions About Tilt Table Testing

  • A Tilt Table Test is a diagnostic procedure used to evaluate how your body regulates blood pressure and heart rate when moving from lying down to an upright position. It is commonly used to investigate symptoms like dizziness, fainting, or lightheadedness.

  • You may benefit from testing if you experience:

    • Frequent dizziness or lightheadedness

    • Fainting (syncope) or near-fainting episodes

    • Rapid heart rate when standing

    • Suspected autonomic dysfunction (e.g., POTS)

    The test helps identify whether your symptoms are related to how your nervous system controls circulation.

  • Tilt Table Testing is commonly used to assess:

    • Postural Orthostatic Tachycardia Syndrome (POTS)

    • Orthostatic hypotension

    • Vasovagal syncope

    • Dysautonomia and other autonomic disorders

  • You will lie flat on a specialized table while your heart rate and blood pressure are monitored. The table is then gradually tilted upright to simulate standing, while your body’s response is recorded.

    The goal is to observe how your cardiovascular and nervous systems respond to positional changes.

  • The full procedure typically takes 30 minutes, depending on your symptoms and how your body responds during testing.

  • Yes. The test is considered safe and non-invasive. You are continuously monitored throughout the procedure by trained professionals.

    Some patients may feel symptoms such as dizziness or nausea during the test, which is expected and helps guide diagnosis.

  • It is possible, especially if you have a history of fainting. If this occurs, the table is immediately returned to a flat position and your symptoms are managed right away.

  • Preparation may include:

    • Avoid eating for a few hours before your appointment

    • Staying well hydrated (unless instructed otherwise)

    • Wearing comfortable clothing

    • Following any specific instructions provided by your clinic

    Always follow the preparation guidelines given to you before your appointment.

  • No referral is required to book an assessment. However, this may vary depending on your healthcare provider or insurance requirements.

  • The results show how your heart rate and blood pressure respond to positional changes. This helps determine whether your symptoms are due to:

    • Abnormal nervous system regulation

    • Blood pressure instability

    • Heart rate dysregulation

    These insights guide your diagnosis and treatment plan.

  • After your test:

    • Your results will be reviewed

    • Findings will be explained to you

    • A personalized care or treatment plan may be recommended

  • Coverage depends on your provider and plan. It is best to check with your insurance company directly or contact the clinic for guidance.

  • No. The test is non-invasive and painless. Some discomfort may occur if your symptoms are triggered during the test, but this is temporary and monitored.

  • The cost of a Tilt Table Test is $165 at Anew Chiropractic Clinic.

    If you have extended health benefits, partial reimbursement may be available depending on your provider. We recommend checking with your insurance company for coverage details.