A review of postural orthostatic tachycardia syndrome
Open Access
- 12 November 2008
- journal article
- case report
- Published by Oxford University Press (OUP) in EP Europace
- Vol. 11 (1), 18-25
- https://doi.org/10.1093/europace/eun324
Abstract
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. Figure1 summarizes her blood pressure and heart rate response to tilting. A diagnosis of postural orthostatic tachycardia syndrome with overlapping vasovagal syncope was made.This publication has 64 references indexed in Scilit:
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