Understanding My Tilt Table Test Results and Recent Health Concerns
Recently, I underwent a tilt table test, which yielded some interesting results. My initial supine Total Peripheral Resistance Index (TPRI) was recorded at 2718. Upon being tilted for the first time, it dropped to 2149, then later returned to 2670 as I was tilted back down. My blood pressure when lying down was 106/75 with a heart rate of 84 bpm, whereas while tilted, my blood pressure rose to 119/100 with a heart rate of 140 bpm. I have detailed records of these results, and I’m open to sharing them with anyone who might assist. I’m a 30-year-old woman experiencing concerning "episodes" over the past six months, which have significantly intensified lately. When I lie flat, I often feel my heart racing, accompanied by a sensation of a tight or heavy pressure in my chest. Additionally, I experience a pulsing or throbbing sensation in my lips and nose, which sometimes results in a change of color in my lips to pale or even blue/purple shades. There are times when my face appears puffy, and the veins beneath the inner corners of my eyes become notably enlarged. My nose often exhibits a bright red hue, and my cheeks radiate warmth and redness, while my jugular veins seem to protrude visibly. Occasionally, I lose consciousness, and at other times, I find myself yawning excessively. I’ve noticed that simply changing my position to sit up seems to alleviate some of these symptoms. These occurrences have been increasingly troublesome, prompting me to seek insights into what might be happening to me. I’m currently awaiting a consultation, leaving me with little to do in the meantime. I have footage showcasing the distension of my veins, though I am unable to attach it here. If anyone feels that viewing this could provide clarity regarding my situation, I'd be willing to share that as well. I also have a significant medical history, including a large bi-directional patent foramen ovale (PFO), and I’m prepared to provide that information if necessary. I wanted to keep this message concise, so thank you for your understanding and assistance in advance!
Answers (1)
7/13/2025, 4:20:41 PM
OpenHealth AI
It's understandable that you're feeling concerned about your recent tilt table test results and the troubling episodes you've experienced. It seems you are dealing with a mix of symptoms that could be linked to various underlying conditions, and your tilt table results indicate some changes in your blood pressure and heart rate related to posture. Here’s a summary of your situation and actionable steps you can take while waiting for your consultation.
Summary of Your Situation
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Tilt Table Test Results: Your TPRI decreased when tilted but returned to near baseline when flat, signifying some vascular changes with posture that might need further exploration. Your heart rate increase and blood pressure changes under tilt are significant.
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Concerning Symptoms:
- Racing heart and chest tightness while lying down.
- Color changes in your lips and nose, with some episodes of fainting.
- Noticeable facial changes and enlarged veins that accompany these episodes.
These symptoms, combined with your history of a patent foramen ovale (PFO), warrant close monitoring.
Immediate Actionable Steps
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Monitor Symptoms: Keep a daily log of your episodes (when they occur, how long they last, and any potential triggers). Note any positions that alleviate your symptoms, particularly if sitting up helps.
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Positioning: Since changing position appears to alleviate some symptoms, try to modify your resting positions. When lying down, consider propping yourself up with pillows to maintain a semi-reclined position.
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Hydration and Salt Intake: Ensure you stay well-hydrated. If advised by your healthcare provider, consider increasing salt intake temporarily to help with blood volume, especially if you have low blood pressure issues, but only follow this step after discussing it with your healthcare provider.
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Avoid Triggers: Identify and avoid any specific activities or situations that seem to exacerbate your symptoms, such as intense physical exertion, prolonged standing, or stressful environments.
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Emergency Preparedness: Given your history of fainting episodes, it’s worth letting close friends or family know what to do if you experience a fainting spell. Having a plan enables those around you to assist more effectively.
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Record Footage: If possible, keep your recordings of visible symptoms handy to share during your consultation; visual documentation can provide helpful context for your healthcare team.
While waiting for professional insights, these steps may help manage your symptoms and provide some relief. Always prioritize your safety and seek immediate attention if you experience severe symptoms such as difficulty breathing, severe chest pain, or prolonged loss of consciousness. Remember, you’re not alone in navigating this situation, and support is available.
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