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a number of tests can be done to try to diagnose the cause of fainting the most common task done in an office is an electrocardiogram which is simply an electrical recording of the heart to try to determine if thereamp;#39;s evidence of a heart rhythm problem or electrical disease of the heart an echocardiogram is frequently done this is a sound wave test that allows us to get a picture of the beating heart to see if thereamp;#39;s a hard muscle problem or perhaps some valvular problems within the heart a test thatamp;#39;s commonly done is a tilt table test usually to diagnose vasovagal syncope this is also known as a standing test because the patient is simply placed in a standing position with a tilting table usually the patient is placed at an angle of about 60 to 70 degrees and then we monitor the blood pressure and the heart rate over the course of 20 or 30 minutes in people with vasovagal syncope sometimes that alone will precipitate a faint if we suspect a heart rhythm abnor