About this ebook
Combining physiology, procedural technique, and evidence-based clinical application, the book explains how tilt table testing can be used to investigate unexplained syncope, postural orthostatic tachycardia syndrome (POTS), orthostatic hypotension, vasovagal syncope, and other autonomic disorders. Emphasis is placed on understanding hemodynamic responses, recognizing diagnostic patterns, and avoiding common interpretative pitfalls.
Key topics include:
Physiological principles of autonomic regulation and blood pressure control
Mechanisms and protocols of tilt table testing, including active and passive tilt techniques
Clinical indications, including recurrent syncope, dysautonomia, orthostatic intolerance, and POTS
Patient selection, contraindications, and risk assessment for safe and effective testing
Step-by-step procedural guidance, including equipment setup, monitoring, and protocol optimization
Interpretation of test responses, including vasodepressor, cardioinhibitory, and mixed syncope patterns
Recognition of artifacts, false positives, and inconclusive results
Real-world case studies demonstrating diagnostic challenges and clinical decision-making
The book emphasizes practical bedside application while maintaining strong alignment with contemporary guideline-based practice. Readers are guided through the complete diagnostic pathway—from patient preparation to final interpretation and clinical integration.
Special attention is given to:
Differentiating autonomic disorders and syncope subtypes
Correlation of physiological findings with patient symptoms
Improving diagnostic yield and minimizing procedural errors
Emerging technologies, including artificial intelligence, wearable monitoring, and remote autonomic assessment
Structured around practical workflows, evidence-based protocols, and clinically relevant interpretation strategies, this volume transforms tilt table testing from a technical procedure into a powerful diagnostic tool for modern cardiovascular and autonomic medicine.
Who This Book Is For
Cardiologists and electrophysiologists
Neurologists and autonomic disorder specialists
Internal medicine and acute care physicians
Cardiology and neurology trainees
Healthcare professionals involved in syncope and autonomic testing
Key Features
Step-by-step practical guidance for tilt table testing
Evidence-based discussion of indications and interpretation
Clinical algorithms and troubleshooting strategies
Real-world case studies and diagnostic scenarios
Coverage of modern innovations and digital monitoring technologies
Part of the Clinical Practical Insights series, this book serves as a concise yet comprehensive reference for clinicians seeking to perform and interpret tilt table testing with greater confidence, accuracy, and clinical relevance.
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About the author
Dr. Taha Othmane, MD, PhD, FRCP, is a Senior Lecturer and Consultant Cardiologist with over two decades of clinical and academic experience in cardiovascular medicine. With a subspecialty focus on heart failure, hypertension, cardiac imaging, and arterial stiffness, he is known for his deep commitment to advancing both clinical care and medical education.
As the lead investigator in heart failure research, Dr. Othmane has authored multiple peer-reviewed publications and books that have informed both bedside practice and academic discourse. He is a regular international speaker at cardiology and hypertension forums, where he shares insights from his ongoing work and innovations in non-invasive diagnostics.
Driven by a passion to bridge the gap between theory and clinical practice, Dr. Othmane writes with a focus on clarity, practicality, and clinical applicability. His books provide practical frameworks, real-world guidance, and evidence-based insights—making them indispensable tools for physicians, trainees, and researchers alike.
His ongoing research includes the development of novel echocardiographic prognostic parameters, particularly for the nuanced and underdiagnosed forms of heart failure—including those in the diagnostic "grey zone"—as well as investigations into the role of arterial stiffness as a key predictor of cardiovascular mortality and disease progression.
