비특이적 만성 어지럼증을 보인 기립성빈맥증후군 1예
A Case of Postural Orthostatic Tachycardia Syndrome Showing Nonspecific Chronic Dizziness
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Postural orthostatic tachycardia syndrome (POTS) is characterized by increased heart rate with preserved blood pressure on orthostatic stress. Many patients with postural orthostatic tachycardia syndrome can be misdiagnosed as neurosis, chronic fatigue or anxiety disorder. We report a patient with POTS who presented chronic dizziness and fatigue. In approaching to a patient with orthostatic or nonspecific chronic dizziness, the postural heart rate as well as blood pressure should be checked not to miss the diagnosis.
Abstract
Postural orthostatic tachycardia syndrome (POTS) is characterized by increased heart rate with preserved blood pressure on orthostatic stress. Many patients with postural orthostatic tachycardia syndrome can be misdiagnosed as neurosis, chronic fatigue or anxiety disorder. We report a patient with POTS who presented chronic dizziness and fatigue. In approaching to a patient with orthostatic or nonspecific chronic dizziness, the postural heart rate as well as blood pressure should be checked not to miss the diagnosis.
참고문헌 (10)
- Thieben MJ, "Postural orthostatic tachycardia syndrome: the Mayo clinic experience", Mayo Clin Proc, 82, pp.308~313 (2007)
- Low PA, "Prevalence of orthostatic hypotension", Clin Auton Res, 18, pp.8~13 (2008)
- Pandian JD, "Postural orthostatic tachycardia syndrome: an underrecognized disorder", Intern Med J, 37, pp.529~535 (2007)
- Masuki S, "Excessive heart rate response to orthostatic stress in postural tachycardia syndrome is not caused by anxiety", J Appl Physiol, 102, pp.896~903 (2007)
- Agarwal AK, "Postural orthostatic tachycardia syndrome", Postgrad Med J, 83, pp.478~480 (2007)
- Low PA, "Postural tachycardia syndrome (POTS)", J Cardiovasc Electrophysiol, 20, pp.352~358 (2009)
- Jacob G, "The neuropathic postural tachycardia syndrome", N Engl J Med, 343, pp.1008~1014 (2000)
- Vernino S, "Invited Article: Autonomic ganglia: target and novel therapeutic tool", Neurology, 70, pp.1926~1932 (2008)
- Hermosillo AG, "Cerebrovascular blood flow during the near syncopal phase of head-up tilt test: a comparative study in different types of neurally mediated syncope", Europace, 8, pp.199~203 (2006)
- Schondorf R, "Cerebral autoregulation is preserved in postural tachycardia syndrome", J Appl Physiol, 99, pp.828~835 (2005)