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A review of postural orthostatic tachycardia syndrome.
Europace. 2009 Jan; 11(1):18-25.E

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. 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.

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Authors+Show Affiliations

Carew S
Blood Pressure Unit, Mid Western Regional Hospital, Limerick, Ireland.
Connor MO
No affiliation info available
Cooke J
No affiliation info available
Conway R
No affiliation info available
Sheehy C
No affiliation info available
Costelloe A
No affiliation info available
Lyons D
No affiliation info available

MeSH

FemaleHumansOrthostatic IntolerancePostural Orthostatic Tachycardia SyndromeTilt-Table TestYoung Adult

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

19088364

Citation

Carew, Sheila, et al. "A Review of Postural Orthostatic Tachycardia Syndrome." Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups On Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology, vol. 11, no. 1, 2009, pp. 18-25.
Carew S, Connor MO, Cooke J, et al. A review of postural orthostatic tachycardia syndrome. Europace. 2009;11(1):18-25.
Carew, S., Connor, M. O., Cooke, J., Conway, R., Sheehy, C., Costelloe, A., & Lyons, D. (2009). A review of postural orthostatic tachycardia syndrome. Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups On Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology, 11(1), 18-25. https://doi.org/10.1093/europace/eun324
Carew S, et al. A Review of Postural Orthostatic Tachycardia Syndrome. Europace. 2009;11(1):18-25. PubMed PMID: 19088364.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A review of postural orthostatic tachycardia syndrome. AU - Carew,Sheila, AU - Connor,Margaret O, AU - Cooke,John, AU - Conway,Richard, AU - Sheehy,Christine, AU - Costelloe,Aine, AU - Lyons,Declan, PY - 2008/12/18/entrez PY - 2008/12/18/pubmed PY - 2009/3/10/medline SP - 18 EP - 25 JF - Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology JO - Europace VL - 11 IS - 1 N2 - 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. SN - 1532-2092 UR - https://www.unboundmedicine.com/medline/citation/19088364/A_review_of_postural_orthostatic_tachycardia_syndrome_ L2 - https://academic.oup.com/europace/article-lookup/doi/10.1093/europace/eun324 DB - PRIME DP - Unbound Medicine ER -