Dr Advait Kulkarni (Neurologist in Bengaluru) How is it diagnosed? Your doctor or healthcare provider will start with a detailed medical history and a general physical examination. This exam will likely include several blood pressure readings taken while you’re sitting, lying down, and standing. Diagnostic testing might also include an electrocardiogram (ECG or EKG) to evaluate your heart rhythm. That may be all it takes to diagnose vasovagal syncope, but your doctor may want to rule out some other possible causes. Depending on your specific symptoms and medical history, further diagnostic testing may include: • Tilt-table test. This test allows your doctor to check your heart rate and blood pressure when you’re in different positions. • Portable Holter monitor. This is a device you wear that allows for detailed 24-hour heart rhythm analysis. • Echocardiogram. This test uses sound waves to produce images of your heart and its blood flow. • Exercise stress test. This test usually involves walking briskly or running on a treadmill to see how your heart functions during physical activity. These tests can help confirm that you have vasovagal syncope or point to another diagnosis. To know more click the link below http://www.dradvaitkulkarni.com