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Postural orthostatic tachycardia syndrome

Última revisão: 25 Mar 2025
Última atualização: 07 Jun 2023

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • orthostatic tachycardia
  • orthostatic palpitations
  • presence of risk factors
Detalhes completos

Outros fatores diagnósticos

  • orthostatic lightheadedness
  • orthostatic blurred vision
  • exercise intolerance
  • orthostatic presyncope
  • orthostatic tremor
  • orthostatic generalized weakness
  • dyspnea
  • orthostatic syncope
  • bloating
  • nausea
  • diarrhea
  • constipation
  • abdominal pain
  • fatigue
  • headache
  • sleep disturbance
  • cognitive impairment
  • chest pain
  • bladder disturbance
Detalhes completos

Fatores de risco

  • young age (15 to 25 years)
  • female sex
  • recent viral infection
  • pregnancy
  • associated comorbidities
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • ECG
  • CBC
  • thyroid function tests
  • electrolytes
  • morning serum cortisol
Detalhes completos

Investigações a serem consideradas

  • Holter monitor
  • echocardiogram
  • tilt-table test
  • supine and upright plasma epinephrine and norepinephrine levels
  • thermoregulatory sweat test
  • quantitative sudomotor axon reflex test
  • valsalva maneuver
  • deep breathing test
  • exercise testing
Detalhes completos

Algoritmo de tratamento

AGUDA

all patients

Colaboradores

Autores

Blair Grubb, MD

Distinguished Professor of Medicine

University of Toledo

Toledo

OH

Declarações

BG declares that he has no competing interests.

Abdelmoniem Moustafa, MD

​Cardiology fellow PGY-5

University of Toledo

Toledo

OH

Declarações

AM declares that he has no competing interests.

Revisores

Brent P. Goodman, MD

Director

Autonomic Clinic and Laboratory

Mayo Clinic

Phoenix

AZ

Declarações

BPG declares he has no competing interests.

Nicholas Gall, ​BSc, MBBS, MSc, MD, FRCP

Consultant Cardiologist

King’s College Hospital

London

UK

Declarações

NG declares that he has no competing interests.

  • Postural orthostatic tachycardia syndrome images
  • Diagnósticos diferenciais

    • anemia
    • supraventricular arrhythmias
    • heart failure
    Mais Diagnósticos diferenciais
  • Diretrizes

    • Position statement on postural orthostatic tachycardia syndrome (POTS) and related disorders of chronic orthostatic intolerance
    • Expert consensus statement on the diagnosis and treatment of postural tachycardia syndrome, inappropriate sinus tachycardia, and vasovagal syncope
    Mais Diretrizes
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