lancewhit Posted January 12, 2005 Report Share Posted January 12, 2005 Can anyone comment on the validity of tilt table testing when giving the patient something like nitroglycerine?After passing out a year ago, I've suffered from symptoms of lightheadedness, heat sensitivity, flushing, sleep disorders, abnormal sweating, hypersensitivity, heart palpitations, and several other symptoms intermittently.I had a tilt table test recently. During the initial tilting phase, I was not symptomatic. During the second phase, the doctor gave me a small dosage of nitroglycerine, which I've read is standard procedure with this test among lots of doctors to increase your adrenaline. At that point, I became very symptomatic--sweating, extreme lightheadedness, dizziness, nausea, shaking. BP and heart rate both went down. It took me a couple of hours after the test before I felt better.The doctor who did the test felt I may have POTS, another doctor who reviewed the test results felt I may have NMH, and a third doctor seemed to be dismissive of the results, although he agreed that I do have some type of tendency toward syncope.My question: what might it indicate when you're symptomatic during a tilt table only after getting something that increases your adrenaline?I seem to be symptomatic typically in warm environments. Heat sensitivity is the key symptom and trigger for me. Just standing in place for a long time doesn't necessarily trigger my symptoms, but if I'm in a warm environment, then that's when I experience strong symptoms.Has anyone else had a similar reaction to a tilt table test, or similar symptoms? I'm curious to hear from other people about this.Thanks for your feedback. Quote Link to comment Share on other sites More sharing options...
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