Concierge cardiology · London
Private tilt table test in London, supervised by a consultant cardiologist.
A supervised head-up tilt test that provokes the syncope response in a safe setting — the definitive way to diagnose vasovagal syncope, POTS and orthostatic hypotension.
Why patients choose us
- 01
The right test, not the quick one
We only recommend a tilt when the clinical question genuinely needs one — often an ECG or monitor comes first.
- 02
Supervised by a consultant cardiologist
Every tilt in our network is run under consultant supervision with full monitoring, not by a technician alone.
- 03
Independent, and free
We are paid by no clinic, so the recommendation is impartial and costs you nothing.
Indicative pricing
What a private tilt table test costs in London.
Indicative ranges across our partner clinics. Send the details and we quote firm figures across two or three options.
In short
A standard tilt in our network: £700-£1,300; with GTN provocation £850-£1,500.
| Scan type | Indicative range | Typical duration | Report turnaround |
|---|---|---|---|
| Standard head-up tilt table test | £700–£1,300 | 60–90 min | Same visit |
| Tilt table + nitrate provocation | £850–£1,500 | 90–120 min | Same visit |
| Tilt table + cardiologist consultation | £900–£1,700 | 90–120 min | Same visit |
| Combined tilt + autonomic function tests | £1,200–£2,200 | 120–180 min | 3–7 days |
| Repeat / surveillance tilt test | £650–£1,200 | 60–90 min | Same visit |
| Paediatric tilt table (specialist) | Quoted case by case | Varies | 3–5 days |
Prices vary by clinic, protocol, whether provocation or autonomic testing is added, and whether a follow-up cardiology consultation is included. We come back with a firm quote within one working day.
The problem
Unexplained fainting deserves an answer, not another normal ECG.
After a normal resting ECG and echo, many people with recurrent syncope are told the tests were clear and sent home. A properly supervised tilt is often the piece that closes the loop — and finally names the cause.
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ECG and echo were normal?
A tilt table test is designed to catch what a resting recording cannot — the response to being upright.
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Fainted more than once?
Recurrent syncope needs a diagnosis, not reassurance — the tilt is often the definitive answer.
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Standing symptoms since COVID?
A structured tilt protocol is the standard way to confirm or exclude POTS.
The journey
From enquiry to report — what happens, in order.
One clinician from first message to explained result — most of the interpretation happens the same visit.
Phase 1 · Before your test
Concierge, off-stage for you
Phase 2 · On the day
~60-90 minutes at the clinic
Phase 3 · After
Concierge, back on
- 01
Before
You tell us what is going on
A short, confidential form. Fainting pattern, triggers, ECG or echo results if you have them.
- 02
Before
We come back with a recommendation
Within one working day: whether tilt is the right next step, which protocol, indicative price. If a monitor comes first, we say so.
- 03
Before
We arrange the appointment
Fasting instructions sent in advance. Insurer pre-authorisation handled.
- 04
On the day
Arrival and preparation
IV cannula placed, ECG electrodes and a blood pressure cuff fitted, then you lie flat on the tilt bed.
- 05
On the day
The test
The bed tilts head-up to roughly 60-70 degrees for 30-45 minutes. GTN or another provocation may be given if needed.
- 06
On the day
Straight home — not driving
A short rest afterwards. Someone else needs to drive you home; normal activity resumes the next day.
- 07
After
Report and next steps
Consultant cardiologist report within 3-7 days: vasovagal, POTS, orthostatic hypotension or normal. Routed to your GP or specialist.
Typical end-to-end: 3-7 days. Urgent cases: same week.
What it shows
When a tilt test is the right test.
Syncope has many causes. These are the questions a supervised tilt is best placed to answer.
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Unexplained syncope
The most common reason for tilt — blackouts with no clear cause after ECG and echo.
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Vasovagal syncope
Reproduces the classic reflex faint under controlled, monitored conditions.
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Postural symptoms
Light-headedness, palpitations or brain fog on standing that has resisted diagnosis.
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Faint on standing
Distinguishes reflex fainting from a drop in blood pressure alone.
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Orthostatic hypotension
Confirms and characterises the fall in BP on upright posture.
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Driving safety assessment
Guides DVLA-relevant decisions after unexplained loss of consciousness.
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Elderly falls with syncope
Helps separate reflex fainting from mechanical falls in older patients.
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Red flag: cardiac cause first
Any suspected cardiac cause — ECG and echo before tilt, not instead of it.
Tilt protocols
Not all tilt tests are the same.
What each option on your referral is actually for.
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Standard head-up tilt (30-45 min)
The passive baseline test — head-up on a tilt bed, watching for a syncopal response.
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Tilt with GTN provocation
A small dose of sublingual GTN increases sensitivity when the passive tilt is negative.
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Tilt with isoproterenol (specialist)
An alternative provocation used in specialist centres for selected cases.
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Combined with autonomic testing
Adds Valsalva, deep breathing and other manoeuvres for a full autonomic picture.
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Combined with implantable loop recorder
Used when infrequent syncope needs long-term rhythm capture alongside the tilt.
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Post-COVID POTS assessment
Structured tilt protocol for suspected postural orthostatic tachycardia after viral illness.
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Paediatric tilt
Specialist paediatric protocols for children and teenagers with recurrent syncope.
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Tilt for driving fitness
Focused assessment where DVLA guidance turns on the syncope diagnosis.
Our vetted London network
A small panel of clinics, we picked them.
Partners across central, north, west and south London. Not listed publicly — introductions are made privately, once we understand your case.
Selection criteria
How we choose every clinic in our network.
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CQC-registered, with a current good or outstanding rating
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Consultant cardiologists supervise every tilt in person
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Full resuscitation kit and trained team in the room throughout
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Continuous ECG and beat-to-beat blood pressure monitoring
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Results explained same visit, in plain English
Safety and eligibility
Safe when properly supervised.
A tilt table test is deliberately designed to provoke a faint. Under continuous monitoring and consultant supervision it is a controlled, safe way to reach a diagnosis.
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Fainting during is the point of the test
Reproducing your syncope is the diagnostic signal — you are safely supervised and returned flat immediately.
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IV cannula placed for medication access
A small cannula goes in beforehand so any medication can be given quickly if needed.
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Fasting 4 hours before
No food for four hours before the test; small sips of water are usually fine.
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Caffeine avoided
No coffee, tea, energy drinks or nicotine on the day — these change the heart rate response.
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Continue heart meds unless told
Keep taking your usual heart medication unless the cardiologist has specifically asked you to hold a dose.
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Pregnancy usually deferred
Tilt testing is generally deferred in pregnancy unless there is a compelling clinical reason.
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Rare arrhythmias, managed on the spot
Occasionally the test provokes a rhythm disturbance — the team is set up to treat it immediately.
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Driver not allowed immediately after
You must not drive yourself home. Arrange a lift, taxi or public transport.
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Pale, light-headed briefly after — normal
Feeling washed out for an hour or two afterwards is common and settles with rest and fluids.
Reading your report
A tilt report can look intimidating. It isn’t.
Whatever the protocol, every tilt report keeps to the same four parts.
A quiet reminder
A negative tilt does not mean nothing is wrong — it means the syncope was not reproduced today.
If you would like us to talk you through the report before your follow-up, just ask.
- 01 Header
Your details and the indication
Who you are, the clinical question, and the syncope history that led to the test.
- 02 Technique
Which protocol was used
Passive tilt, angle and duration, and any provocation such as GTN or isoproterenol.
- 03 Findings
What the monitoring showed
Blood pressure trend, heart rate response, and the symptoms you reported minute by minute.
- 04 Impression
The conclusion: read this first
Vasovagal, POTS, orthostatic hypotension, mixed or normal — and what to do next.
Recognised by major UK insurers
Cover depends on your policy and clinic; we confirm with your insurer before booking.
Frequently asked
Everything we get asked about tilt table tests.
Quick answers on cost, referrals, safety, POTS, driving and results.
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What does a tilt table test show?
It shows how your heart rate and blood pressure respond to being upright over 30-45 minutes. It is the definitive way to diagnose vasovagal syncope, postural orthostatic tachycardia syndrome (POTS) and orthostatic hypotension.
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Why does the test try to make me faint?
Reproducing your symptoms while heart rate and blood pressure are continuously monitored is the whole point — that is how the cause of the faint is identified. You are safely supervised throughout and returned flat the moment symptoms start.
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How much does a private tilt table test cost in London?
A standard head-up tilt is typically £700-£1,300, and £850-£1,500 with GTN provocation. A combined tilt with autonomic function testing is usually £1,200-£2,200. We confirm a firm figure within one working day.
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Do I need a referral?
Most of our partner clinics accept self-referral, but a tilt test is only appropriate after basic cardiac work-up. We check what has been done and arrange a fast-track cardiology review if needed.
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Is a tilt table test safe?
It is very safe when done under consultant supervision with continuous monitoring. Fainting is expected in a positive test and is managed instantly by tilting you back flat. Rare arrhythmias are treated on the spot.
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Should I have an implantable loop recorder instead?
If syncope is infrequent — months apart — a loop recorder that watches for weeks or months may be more useful than a tilt. We advise based on how often your episodes actually happen.
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Can a tilt test diagnose POTS?
Yes. A sustained rise in heart rate of 30 beats per minute (40 in adolescents) within ten minutes of being upright, without a significant drop in blood pressure, is the diagnostic pattern.
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What about driving?
DVLA rules for syncope depend on the diagnosis and whether you drive a car or a lorry or bus. A clear tilt result usually helps rather than hinders that assessment — your cardiologist will advise.
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How quickly will I get results?
Most of the interpretation is done in the room and explained the same visit. A written consultant cardiologist report follows within 3-7 days.
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When should I see a GP first?
If you have had a single simple faint with a clear trigger, a GP review is usually the sensible first step. Recurrent, unexplained or exertional syncope, or blackouts with warning signs, need cardiology assessment.
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