ABSTRACT

For diagnostic purposes, tilt-table testing is indicated for patients with recurrent syncope without evidence of structural cardiac disease or for those with structural heart disease but after other causes of syncope have been excluded by appropriate testing. Tilt-table testing generally is not indicated for patients with a single episode of syncope without injury or in a high-risk setting with clear-cut vasovagal clinical features. Recommendations for evaluation of patients with syncope are outlined in Figure 3-36.