Taquicardia postural ortostática en 15 pacientes: disautonomía compleja

Jiménez-Cohl, Pedro; Earle, Nicholas; González, Beltrán R; Thieck, Elfride J

doi:10.4067/s0034-98872012000200001

Cited by 6 publications

(10 citation statements)

References 21 publications

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“…In 2 of the studies, the Quantitative Sudomotor Axon Reflex Test (QSART) was used to assess alterations in sweating [13,29]. Depending on the source of POTS, patients can have hypotension, hypertension, or no change in their blood pressure as a result of the positional changes [7,13,14,31]. …”

Section: Synthesis Of the Literaturementioning

confidence: 99%

“…In addition, persons with hypermobility or hyperflexibility can be at risk for POTS [11]. Oftentimes, patients are diagnosed and treated for psychiatric conditions, predominantly chronic fatigue syndrome [6,12] and anxiety disorders [1,5,7]. …”

Section: Implications For Current Practicementioning

confidence: 99%

“…As a result of the delay in a proper diagnosis, patients feel misunderstood and do not feel validated, which could greatly impact their self-esteem and self-confidence [5]. Many POTS patients are treated with antidepressants and anxiolytics [7] and with cognitive behavioral therapy, which helps with the associated depression, anxiety, sleep and appetite disturbances, and chronic fatigue symptoms [5]. As such, POTS is being managed by psychiatric professionals without a clear understanding of this syndrome [7].…”

Section: Identifying the Gapmentioning

confidence: 99%

“…While there are many symptoms identified in POTS patients, the diagnostics revolve around the key symptom, palpitations, which occur with an upright posture [7,13,15,29,30,31,41,42,43]. Much of the literature is focused on measuring the scale changes in heart rate and blood pressure, using the Valsalva maneuver [13,29,30] or HUTT [7,13,14,29,30,31,41,42,43].…”

Section: Synthesis Of the Literaturementioning

confidence: 99%

“…POTS has an estimated prevalence of at least 170 out of 100,000 people, with an age range of 15-50 years, a mean age at onset of 30 years, and a female-to-male ratio of 5:1 [6]. A proper diagnosis can take nearly 8-10 years [7], or an average of 5 years and 11 months [8]. Approximately 45% of patients had their POTS symptom onset after 19 years of age [8].…”

Section: Introductionmentioning

confidence: 99%

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Postural Orthostatic Tachycardia Syndrome (POTS): Assess, Diagnose, and Evaluate for POTS Treatment (ADEPT)

Schmidt¹,

Karabin

Malone

2017

Integr Med Int

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Background/Aims: Postural orthostatic tachycardia syndrome (POTS) is often identified as being clinically underdiagnosed and undertreated, resulting in unnecessary costs and poorer patient outcomes. Method: Through a literature search, the information has been synthesized, supporting the creation of a POTS diagnostic screening tool that can be implemented within the psychiatric outpatient clinic. Results: POTS patients are often referred to psychiatry for the treatment of chronic fatigue and anxiety disorders. Psychiatric professionals are in a position to prescreen for POTS in patients with orthostatic intolerance. Conclusion: A diagnostic prescreening tool helps to identify patients with POTS so they can be referred for proper treatment, improving their functionality and quality of life, and decreasing the healthcare burden.

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Section: Synthesis Of the Literaturementioning

confidence: 99%

Section: Implications For Current Practicementioning

confidence: 99%

Section: Identifying the Gapmentioning

confidence: 99%

Section: Synthesis Of the Literaturementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Postural Orthostatic Tachycardia Syndrome (POTS): Assess, Diagnose, and Evaluate for POTS Treatment (ADEPT)

Schmidt¹,

Karabin

Malone

2017

Integr Med Int

View full text Add to dashboard Cite

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Total Peripheral Vascular Resistance, Cardiac Output, and Plasma C-Type Natriuretic Peptide Level in Children with Postural Tachycardia Syndrome

Han¹,

Chen²,

Liao³

et al. 2015

The Journal of Pediatrics

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Risk Factors for Postural Tachycardia Syndrome in Children and Adolescents

Lin

Han

et al. 2014

PLoS ONE

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BackgroundPostural tachycardia syndrome (POTS) is prevalent in children and adolescents and has a great impact on health. But its risk factors have not been fully understood. This study aimed to explore possible risk factors for children and adolescents with POTS.Methods and Findings600 children and adolescents (test group) aged 7–18 (11.9±3.0) years old, 259 males and 341 females, were recruited for identifying its risk factors. Another 197 subjects aged from 7 to 18 (11.3±2.3) years old were enrolled in the validation group. Heart rate (HR) and blood pressure (BP) were monitored during upright test. Risk factors were analyzed and sensitivity and specificity for predicting POTS were tested via receiver operating characteristic curve. Among 600 subjects, 41 were confirmed with POTS patients (6.8%) based on clinical manifestation and upright test. The results showed a significant difference in daily water intake, the daily sleeping hours, supine HR, HR increment and maximum HR during upright test between POTS and the unaffected children (P<0.05). Likelihood of POTS would increase by 1.583 times if supine HR was increased by 10 beats/min (95%CI 1.184 to 2.116, P<0.01), by 3.877 times if a child's water intake was less than 800 ml/day (95%CI 1.937 to 7.760, P<0.001), or by 5.905 times (95%CI 2.972 to 11.733, P<0.001) if sleeping hours were less than 8 hours/day. Supine HR, daily water intake and sleeping hours showed the capability of predicting POTS in children and adolescents with an AUC of 83.9% (95% CI: 78.6%–89.1%), sensitivity of 80.5% and specificity of 75%. Furthermore, in validation group, predictive sensitivity and specificity were 73.3% and 72.5%.ConclusionFaster supine HR, less water intake and shorter sleeping hours were identified as risk factors for POTS.

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Taquicardia postural ortostática en 15 pacientes: disautonomía compleja

Cited by 6 publications

References 21 publications

Postural Orthostatic Tachycardia Syndrome (POTS): Assess, Diagnose, and Evaluate for POTS Treatment (ADEPT)

Postural Orthostatic Tachycardia Syndrome (POTS): Assess, Diagnose, and Evaluate for POTS Treatment (ADEPT)

Total Peripheral Vascular Resistance, Cardiac Output, and Plasma C-Type Natriuretic Peptide Level in Children with Postural Tachycardia Syndrome

Risk Factors for Postural Tachycardia Syndrome in Children and Adolescents

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