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Journal
2008 | 3 | 3 | 361-364
Article title

Treatment questions in POTS with hypertension and syncope

Content
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Languages of publication
EN
Abstracts
EN
A 27-year old man experienced recurrent syncope with prodromal palpitations and resultant injury. The features of these episodes suggested a potentially neurally-mediated mechanism. Head-up tilt test revealed the postural orthostatic tachycardia syndrome (POTS). Within the first minutes of upright posture during the total head-up tilt testing, a heart rate increase of >30 beats/min and to a maximum of 150 beats/min was documented in the patient. At the end of passive tilting, the patient lost consciousness in the absence of hypotension while in sinus rhythm of 140 bpm. The 12-lead ECG and electrophysiological study showed no abnormalities. The patient received a beta-adrenergic blocker, a selective central imidazoline receptor agonist and psychiatric therapy, resulting in only a short-term improvement.
Keywords
EN
Publisher
Journal
Year
Volume
3
Issue
3
Pages
361-364
Physical description
Dates
published
1 - 9 - 2008
online
10 - 7 - 2008
References
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Document Type
Publication order reference
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_s11536-008-0021-2
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