A review of postural orthostatic tachycardia syndrome

被引：56

作者：

Carew, Sheila ^{[1
]}

Connor, Margaret O. ^{[1
]}

Cooke, John ^{[1
]}

Conway, Richard ^{[1
]}

Sheehy, Christine ^{[1
]}

Costelloe, Aine ^{[1
]}

Lyons, Declan ^{[1
]}

机构：

[1] Mid Western Reg Hosp, Blood Pressure Unit, Limerick, Ireland

来源：

EUROPACE | 2009年 / 11卷 / 01期

关键词：

INAPPROPRIATE SINUS TACHYCARDIA; AUTONOMIC NERVOUS-SYSTEM; CHRONIC-FATIGUE-SYNDROME; SYNDROME POTS; ACETYLCHOLINESTERASE INHIBITION; NEUROCARDIOGENIC SYNCOPE; VASCULAR-RESPONSES; INTOLERANCE; TILT; ERYTHROPOIETIN;

D O I：

10.1093/europace/eun324

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 21-year-old female reports an 18-month history of light-headedness on standing. This is often associated with palpitations and a feeling of intense anxiety. She has had two black-outs in the past 12 months. She is not taking any regular medications. Her supine blood pressure was 126/84 mmHg with a heart rate of 76 bpm, and her upright blood pressure was 122/80 mmHg with a heart rate of 114 bpm. A full system examination was otherwise normal. She had a 12-lead electrocardiogram performed which was unremarkable. She was referred for head-up tilt testing. She was symptomatic during the test and lost consciousness at 16 min. Figure 1 summarizes her blood pressure and heart rate response to tilting. A diagnosis of postural orthostatic tachycardia syndrome with overlapping vasovagal syncope was made.

引用

页码：18 / 25

页数：8

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