WordNet

undergo a test; "She doesnt test well"
any standardized procedure for measuring sensitivity or memory or intelligence or aptitude or personality etc; "the test was standardized on a large sample of students" (同)mental test, mental testing, psychometric test
the act of undergoing testing; "he survived the great test of battle"; "candidates must compete in a trial of skill" (同)trial
the act of testing something; "in the experimental trials the amount of carbon was measured separately"; "he called each flip of the coin a new trial" (同)trial, run
a hard outer covering as of some amoebas and sea urchins
put to the test, as for its quality, or give experimental use to; "This approach has been tried with good results"; "Test this recipe" (同)prove, try, try out, examine, essay
achieve a certain score or rating on a test; "She tested high on the LSAT and was admitted to all the good law schools"
determine the presence or properties of (a substance)
show a certain characteristic when tested; "He tested positive for HIV"
arrange or enter in tabular form (同)tabularize, tabularise, tabulate
a piece of furniture having a smooth flat top that is usually supported by one or more vertical legs; "it was a sturdy table"
a piece of furniture with tableware for a meal laid out on it; "I reserved a table at my favorite restaurant"
a set of data arranged in rows and columns; "see table 1" (同)tabular array
a company of people assembled at a table for a meal or game; "he entertained the whole table with his witty remarks"
charge with a tilt
the property possessed by a line or surface that departs from the vertical; "the tower had a pronounced tilt"; "the ship developed a list to starboard"; "he walked with a heavy inclination to the right" (同)list, inclination, lean, leaning
a slight but noticeable partiality; "the courts tilt toward conservative rulings"
a short strip of material attached to or projecting from something in order to facilitate opening or identifying or handling it; "pull the tab to open the can"; "files with a red tab will be stored separately"; "the collar has a tab with a button hole"; "the filing cards were organized by cards having indexed tabs"
an examination of the characteristics of something; "there are laboratories for commercial testing"; "it involved testing thousands of children for smallpox"
the act of subjecting to experimental test in order to determine how well something works; "they agreed to end the testing of atomic weapons"

PrepTutorEJDIC

(人の能力などの)『試験』,考査,テスト / (物事の)『試験』,検済,試錬,実験《+of+名》 / 化学分析;試薬 / =test match / …‘を'『試験する』,検査する / …‘を'化学分析する / (…の)試験を受ける,試験をする《+for+名》
〈C〉『テーブル』,食卓;(仕事・遊戯などの)台 / 〈U〉《時にa~》食べ物,料理 / 《集合的に》テーブルを囲む人々,一度の人々 / 〈C〉(文字・数字,情報などの並べた)『表』,配列表,目録 / =tableland / …‘を'表にする / 《おもに米》〈議案など〉‘を'棚上げにする,見送る / 《英》〈議案など〉‘を'審議に付す
…‘を'傾ける / (馬上槍試合で)〈槍〉‘を'突き出す,〈相手〉‘を'槍で突く / 傾く / 馬上槍試合をする / (相手を)槍で突く《+at+名》 / (文章・言葉で)(…を)攻撃する《+at+名》 / 傾き,傾斜(slope) / (中世騎士の)馬上槍試合 / (一般に)対決,試合
(開けるたれの)つまみ;(持つ・つるすための)ひもの輪;(区別するための)付け札,ラベル / (衣服につける装飾用の)ひも,輪,垂れ飾り;(靴の)舌革など / 《話》(食事などの)勘定;つけ

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/09/09 09:38:44」(JST)

wiki en

A tilt table test, occasionally called upright tilt testing,^[1] is a medical procedure often used to diagnose dysautonomia or syncope. Patients with symptoms of dizziness or lightheadedness, with or without a loss of consciousness (fainting), suspected to be associated with a drop in blood pressure or positional tachycardia are good candidates for this test.

The procedure tests for causes of syncope by attempting to cause syncope by having the patient lie flat on a special table or bed and then be monitored with ECG and a blood pressure monitor. The table then creates a change in posture from lying to standing.^[1]^[2]

Preparations

Before taking the test, the patient may be instructed to fast for a period before the test will take place and to stop taking any medications. On the day of the tilt table test, an intravenous line may be placed in case the patient needs to be given medications quickly; however, this may influence the results of the test and may only be indicated in particular circumstances. More recently, most investigators monitor cerebral perfusion using mean flow velocity recording with transcranial Doppler ultrasound in supine horizontal position, during and after head-up tilt. An 18 MHz ultrasound transducer is placed on the temporal bone above the cheekbone, using headgear to hold the probe in place.^{[citation needed]}

Procedure

A tilt table test can be done in different ways and be modified for individual circumstances. In some cases, the patient will be strapped to a tilt table lying flat and then tilted or suspended completely or almost completely upright (as if standing). Most of the time, the patient is suspended at an angle of 60 to 80 degrees.^[3] Sometimes, the patient will be given a drug, such as Glyceryl trinitrate (nitroglycerin) or isoproterenol, to create further susceptibility to the test.^[3] In all cases, the patient is instructed not to move. Symptoms, blood pressure, pulse, electrocardiogram, and sometimes blood oxygen saturation are recorded. The test either ends when the patient faints or develops other significant symptoms, or after a set period (usually from 20 to 45 minutes, depending on the facility or individualized protocol).

Diagnostic symptoms

A tilt table test is considered positive if the patient experiences symptoms associated with a drop in blood pressure or cardiac arrhythmia. A normal person's blood pressure will not drop dramatically while standing, because the body will compensate for this posture with a slight increase in heart rate and constriction of the blood vessels in the legs. If this process does not function normally in the patient, the test could provoke signs and symptoms ranging from minor lightheadedness to a very severe cardiac episode, depending on the person.

A common side effect during tilt table testing is a feeling of heaviness and warmth in the lower extremities. This is due to blood pooling in the legs and, to onlookers, the patient's lower extremities may appear blotchy, pink, or red.

Dizziness or lightheadedness are also likely to occur in susceptible patients. Tilt table testing could provoke fainting or syncope; in fact, this is the purpose of the test. It may not be appropriate, or indeed even possible, to stop the test before this occurs, as the drop in blood pressure or pulse rate associated with fainting can come on in seconds. This is why the patient's blood pressure and ECG should be continuously monitored during the test.

In extreme cases, tilt table testing could provoke seizures or even cause the heart to stop. The heart resumes beating normally upon being returned to a flat or head-down position.

If at any time in tilt table testing a patient loses consciousness, he or she will be returned to a supine or head down position and will be given immediate medical attention, which could include being given fluids or perhaps atropine or a sympathomimetic drug like epinephrine or ephedrine which will raise blood pressure and heart rate rapidly.

References

^ ^a ^b "null". Rush.edu. Retrieved 2013-04-29.
^ "Tilt Table Procedure". Metrohealth.org. Retrieved 2013-04-29.
^ ^a ^b Goldman, Lee (2011). Goldman's Cecil Medicine (24th ed.). Philadelphia: Elsevier Saunders. p. 343. ISBN 1437727883.

External links

2004 European Society of Cardiology Guidelines on Management (Diagnosis and Treatment) of Syncope.
University of Michigan: Tilt Table Testing
Head-Upright Tilt Table Testing
Tilt Table Testing
Tilt Table Test information from Children's Hospital Heart Center, Seattle

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 失神評価における立位チルト試験 upright tilt table testing in the evaluation of syncope
2. 反射性失神 reflex syncope
3. 成人における失神の評価 evaluation of syncope in adults
4. 起立性低血圧のメカニズム、原因、および評価 mechanisms causes and evaluation of orthostatic hypotension
5. 体位性頻脈症候群 postural tachycardia syndrome

English Journal

Autonomic dysfunction in chronic persistent dizziness.

Lee H1, Kim HA2.
Journal of the neurological sciences.J Neurol Sci.2014 Sep 15;344(1-2):165-70. doi: 10.1016/j.jns.2014.06.048. Epub 2014 Jun 29.
OBJECTIVE: To investigate the autonomic dysfunction in patients with chronic persistent dizziness using standardized autonomic function tests.METHODS: We prospectively recruited 18 patients with chronic persistent dizziness after excluding other causes with extensive investigations. A standardized b
PMID 25012479

Atrial fibrillation presented with syncope in a jet pilot during daily briefing on squadron.

Ozturk C1, Aparci M, Cakmak T, Metin S, Balta S, Sen A.
Aviation, space, and environmental medicine.Aviat Space Environ Med.2014 Sep;85(9):965-9. doi: 10.3357/ASEM.3922.2014.
Ozturk C, Aparci M, Cakmak T, Metin S, Balta S, Sen A. Atrial fibrillation presented with syncope in a jet pilot during daily briefing on squadron. Aviat Space Environ Med 2014; 85:965-9.INTRODUCTION: Syncope may be the initial clinical presentation of atrial fibrillation (AF) and has a great potent
PMID 25197897

Japanese Journal

Error calibration of five-axis machine tools by on-machine measurement system using a laser displacement sensor

NAGAI Yuu,IBARAKI Soichi,NISHIKAWA Shizuo
Journal of Advanced Mechanical Design, Systems, and Manufacturing 8(4), 2014-10-31
… By driving the machine's rotary axes to tilt or rotate the workpiece, the object's geometry can be measured from all the directions in the three-dimensional space without being detached from a machine table. …
NAID 120005522502

21238 傾斜すべり支承を利用した免震構法の開発 : その3. 振動台実験(免震部材(5),構造II,2014年度日本建築学会大会(近畿)学術講演会・建築デザイン発表会)

劉銘崇,福喜多輝,磯田和彦,北村佳久,濱智貴,木原幸紀
学術講演梗概集 2014(構造II), 475-476, 2014-09-12
NAID 110009854484

Error calibration of five-axis machine tools by on-machine measurement system using a laser displacement sensor

NAGAI Yuu,IBARAKI Soichi,NISHIKAWA Shizuo
Journal of Advanced Mechanical Design, Systems, and Manufacturing 8(4), JAMDSM0053-JAMDSM0053, 2014
… By driving the machines rotary axes to tilt or rotate the workpiece, the objects geometry can be measured from all the directions in the three-dimensional space without being detached from a machine table. …
NAID 130004705819