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기립성 못견딤증: 기립성 빈맥 증후군

Orthostatic Intolerance: Postural Tachycardia Syndrome

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참고문헌

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초록

Orthostatic intolerance is defined as the development of various symptoms during standing that are relieved by recumbency. Postural tachycardia syndrome (POTS) is another nomenclature of orthostatic intolerance. POTS characterized by a heart rate increase ≥30 bpm from supine to standing or >120 bpm at standing without orthostatic hypotension. POTS is a heterogenous in presentation with various pathophysiologic mechanisms. Important mechanisms are hypovolemia, denervation, hyperadrenergic and deconditioning state. There are presented as lightheadness or dizziness, palpitations, presyncope, sense of weakness, tremulousness, shortness of breath. POTS are classified under 3 groups that are neuropathic, hyperadrenergic, and deconditioning POTS. Most patients can be improved from a pathophysiologically based regimen of management.

Abstract

Orthostatic intolerance is defined as the development of various symptoms during standing that are relieved by recumbency. Postural tachycardia syndrome (POTS) is another nomenclature of orthostatic intolerance. POTS characterized by a heart rate increase ≥30 bpm from supine to standing or >120 bpm at standing without orthostatic hypotension. POTS is a heterogenous in presentation with various pathophysiologic mechanisms. Important mechanisms are hypovolemia, denervation, hyperadrenergic and deconditioning state. There are presented as lightheadness or dizziness, palpitations, presyncope, sense of weakness, tremulousness, shortness of breath. POTS are classified under 3 groups that are neuropathic, hyperadrenergic, and deconditioning POTS. Most patients can be improved from a pathophysiologically based regimen of management.

참고문헌 (35)

  1. Schondorf R, "Evaluation of the patient with orthostatic intolerance. In: Primer on the autonomic nervous system. 2nd ed", Elsevier academic press, pp.221~223 (2004)
  2. Low PA, "Postural tachycardia syndrome (POTS)", J Cardiovasc Electrophysiol, 20, pp.352~358 (2009)
  3. Robertson D, "The epidemic of orthostatic tachycardia and orthostatic intolerance", Am J Med Sci, 317, pp.75~77 (1999)
  4. Streeten DH, "Abnormal orthostatic changes in blood pressure and heart rate in subjects with intact sympathetic nervous function: Evidence for excessive venous pooling", J Lab Clin Med, 111, pp.326~335 (1988)
  5. Borst C, "Mechanisms of initial heart rate response to postural change", Am J Physiol, 243, pp.H676~H681 (1982)
  6. Grubb BP, "Review of the classification, diagnosis, and management of autonomic dysfunction syndromes associated with orthostatic intolerance", Arq Bras Cardiol, 74, pp.545~552 (2000)
  7. Schondorf R, "Orthostatic intolerance in chronic fatigue syndrome", J Auton Nerv Syst, 75, pp.192~201 (1999)
  8. Thieben MJ, "Postural orthostatic tachycardia syndrome: the Mayo clinic experience", Mayo Clin Proc, 82, pp.308~313 (2007)
  9. Low PA, "Postural tachycardia syndrome (POTS)", Neurology, 45, pp.S19~S25 (1995)
  10. Raj SR, "The postural tachycardia syndrome (POTS): pathy physiology, diagnosis & management", Indian Pacing Electrophysiol J, 6, pp.84~99 (2006)
  11. Jacob G, "The neuropathic postural tachycardia syndrome", N Engl J Med, 343, pp.1008~1014 (2000)
  12. Low PA, "Comparison of the postural tachycardia syndrome (POTS) with orthostatic hypotension due to autonomic failure", J Auton Nerv Syst, 50, pp.181~188 (1994)
  13. Masuki S, "Excessive heart rate response to orthostatic stress in postural tachycardia syndrome", J Appl Physiol, 102, pp.896~903 (2007)
  14. Streeth DH, "Delayed orthostatic intolerance", Arch Intern Med, 152, pp.1066~1072 (1992)
  15. Raj SR, "Morning heart rate surge in postural tachycardia syndrome", Circulation, 112, pp.U810~ (2005)
  16. Gaffney FA, "Autonomic dysfunction in women with mitral valve prolapse syndrome", Circulation, 59, pp.894~901 (1979)
  17. Freeman R, "Limb venous compliance in patients with idiopathic orthostatic intolerance and opstural tachycardia", J Appl Physiol, 93, pp.636~644 (2002)
  18. Stewart JM, "Pooling in chronic orthostatic intolerance: arterial vasoconstrictive but not venous compliance defects", Circulation, 105, pp.2274~2281 (2002)
  19. Garland EM, "Bobertson D. The hemodynamic and neurohumoral phenotype of postural tachycardia syndrome", Neurology, 69, pp.790~798 (2007)
  20. Grubb BP, "Postural tachycardia syndrome", Circulation, 117, pp.2814~2817 (2008)
  21. Grubb BP, "The postural tachycardia syndrome: a concise quide to diagnosis and management", J Cardiovasc Electrophysio, 14, pp.108~112 (2006)
  22. Schondorf R, "Idiopathic postural orthostatic tachycardia syndrome: an attenuated form of acute dysautonomia?", Neurology, 43, pp.132~137 (1993)
  23. Hoeldtke RD, "The orthostatic tachycardia syndrome: evaluation of autonomic function and treatment with octreotideand ergot alkaloids", J Clin Endocrinol Metab, 73, pp.132~139 (1991)
  24. Singer W, "Prospective evaluation of somatic and autonomic small fibers in selected autonomic neuropathies", Neurology, 62, pp.612~618 (2004)
  25. Streeten DH, "Pathogenesis of hyperadrenergic orthostatic hypotension", J Clin Invest, 86, pp.1582~1588 (1990)
  26. Shannon JR, "Orthostatic intolerance and tachycardia associated with norepinephrine-transporter deficiency", N Engl J Med, 342, pp.541~549 (2000)
  27. Grubb BP, "Postural tachycardia syndrome", Circulation, 117, pp.2814~2817 (2008)
  28. Streeten DH, "Orthostatic disorders of the circulation: Mechanisms, manifestations and treatment" (1987), Plenum Medical Book Publishing
  29. Raj SR, "Diagnosing postural tachycardia syndrome: comparison of tilt versus standing", Circulation, 112, pp.U765~ (2005)
  30. Shibao C, "Hyperadrenergic postural tachycardia syndrome in mast cell disorders", Hypertension, 45, pp.385~390 (2005)
  31. Raj SR, "Renin-aldosterone paradox and perturbed blood volume regulation underlying postural tachycardia syndrome", Circulation, 111, pp.1574~1582 (2005)
  32. Manger WM, "Pheochromocytoma: diagnosis and management update", Curr Hypertens Rep, 6, pp.477~484 (2004)
  33. Brady PA, "Inappropriate sinus tachycardia, postural orthostatic tachycardia syndrome, and overlapping syndrome", PACE, 28, pp.1112~1121 (2005)
  34. Raj SR, "Acetylcholinesterase inhibition improves tachycardia in postural tachycardia syndrome", Circulation, 111, pp.2734~2740 (2005)
  35. Sandroni P, "Postural tachycardia syndrome: Clinical features and follow-up study", Mayo Clin Proc, 74, pp.1106~1110 (1999)

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