A review of postural orthostatic tachycardia syndrome

Europace. 2009 Jan;11(1):18-25. doi: 10.1093/europace/eun324.

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.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Female
  • Humans
  • Orthostatic Intolerance / diagnosis*
  • Orthostatic Intolerance / therapy*
  • Postural Orthostatic Tachycardia Syndrome / diagnosis*
  • Postural Orthostatic Tachycardia Syndrome / therapy*
  • Tilt-Table Test / methods*
  • Young Adult