Tilt Table Test

[Gillon S.]

I have been experiencing pvc's for years. They first began when my heart would flip-flop every once in a while. But I finally ended up in the ER when I was walking down the street one day and my heart jumped out of rhythm and I had to sit down and wait for it to beat normally. This lasted for several minutes. When I went to the E.R hey couldn't find anything butsince I had been several times before they kept me overnight to observe. The next day they offered to do a TILT TABLE TEST, but I called my cardiologist (who had done a complete work-up on me-all negative results) and he told them I didn't need the test.
The question is: since then I have had several instances of Tacchacardia and occasional scary arrhythmia's, also pvc's that come and go. But I have worn holter monitors for weeks at a time and captured only what the cardiologist called a "short run". He said it was not long enough to determine what it was, but didn't think it was dangerous. No one seems to be bothered by these arryhthmias but me. The only other time they caught anything on tape was "atrial tacchacardia", but again nothing to be worried about.
Should I have a Tilt Table test? Could that help determine what I am experiencing (since I haven't been able to catch the bad one's on a holter). What is a tilt table test?

I went to an E.P specialist who offered me the choice of an ablation or to "live with it". But since I haven't captured these arrhythmias I chose not to have an ablation.

Can the Tilt Table Test trigger an arrythmia? Maybe I should have done this long ago.

[CCF CARDIO MD - DLB]

I do not think that there is a single test that will make a definite diagnosis. Possibilities that your doctor can look into include side effects from your medicines, arrhythmia, or problems with your blood pressure.

[joseph rich [email protected]]

It has been about one year since my aortic valve was replaced at the Cleveland Clinic.  Everything is going ok but I have a concern...and that is on occasion I will experiece a sudden heat flash and light headedness.  what test can be recommended to find a cause?  thank you.

[CCF CARDIO MD - DLB]

I do not think a tilt table test would be useful, unless you are experiencing episodes of lightheadedness or passing out. An ablation would be extreme, especially given that nothing serious has been captured on numerous tests - it is also not a great cure for PVCs.