Positive tilt table and heart monitor?


Question:
I had a tilt table test and it took 39 min for my blood pressure to drop but it did> I also had a 24 hour hear monitor on (take home) that came back i was having blood pressure dropping episode quite a few times. i went because of constent light headed ness and chills, shaking. what does this mean? I was told it could be neurocardiogenic syncope. Should I be scared.?

Answers:
A tilt table test is used to evaluate the cause of unexplained fainting or severe lightheadedness.

During the test, your blood pressure and heart rate are monitored. You begin by lying flat on a table. Then, the table is tilted to raise the upper part of your body — simulating a change in position from lying down to standing up. This test allows doctors to evaluate your body's response to this change in angle.

When you stand up, gravity causes blood to pool in your leg veins, reducing the amount of blood that returns to your heart. This causes your blood pressure to drop (orthostatic hypotension). Normally, your autonomic nervous system accommodates this effect by narrowing (constricting) your blood vessels and increasing your heart rate. But if these mechanisms don't work as they should, the drop in blood pressure can be severe enough to cause fainting.

Some possible reasons why these adjustments may not be occurring include diseases that affect the autonomic nervous system, such as diabetic autonomic neuropathy and Shy-Drager syndrome.
could it be POTS? they use a tilt table test for that. postural orthostatic tachycardia syndrome. not all doctors are familiar with. sorry i am not familiar with neurocardiogenic syncope. don't be scared, make them figure out what it is so that you can get some relief.
NCS Neurocardiogenic syncope . The website below also has information on POTS- postural orthostatic tachycardia syndrome, located to the left column on the first page. I hope that this helps. Sorry for just offering a website but, there is alot of information. Good Luck.


www.dinet.org/NCS/ncs.htm
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