I'm new to the boards and have been trying to read and learn. I recently had a tilt test and got the results back the other day. I'm a little confused though and hoping some of you more experienced can give me info. I'm a 36 year old male. 5'9" 140lbs, recovering from TBI residuals for the last year. When I did my test, I did the test where you blow in the tube real slow a few times, then the valsalva test, then the tilt test. This first two apparently didn't show much. But, I was positive on the tilt. I started with a HR of 100 bpm and immediately raised to135 bpm, then 148 bpm at 3 minutes, and pretty much stayed between 130-145 until the 10 minute mark. I did not show a drop in BP so I guess I do not have OH. I take a whole slew of medications. My Nuero recently added propanalol for my migraines, however I stopped this med 4 days before testing. When my Nuero was reviewing the results with me, he called his colleague, who is supposedly a nationally recognized autonomic expert that works across the street at NIH to see if he would be interested in reviewing or treating me. Well, I guess they talked a bit, and decided that since I take Effexor and Lexapro I should repeat the test after coming off these meds. I am already titration down slowly since I was on max doses of both, but need to switch to another med that is more Fibro friendly. So, my question is, how much could Effexor and Lexapro effect a tilt test? Prior to being out on any of my current meds I was experiencing many of the same symptoms and sporadic tachycardia and chest pains. I know it's a long post. But, I appreciate your experienced replies since this is all new to me.