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.
Diagnósticos diferenciais
- anemia
- supraventricular arrhythmias
- heart failure
Mais Diagnósticos diferenciaisDiretrizes
- 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 DiretrizesConectar-se ou assinar para acessar todo o BMJ Best Practice
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