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体位性直立性心动过速综合征(POTS)的病例报告及综述

Case reports and review of Postural Orthostatic Tachycardia syndrome (POTS).

作者信息

Carothers Becky, Schmidt Lori, Puri Vinay

出版信息

J Ky Med Assoc. 2003 Dec;101(12):549-52.

Abstract

Postural Orthostatic Tachycardia Syndrome (POTS) is a type of orthostatic intolerance that is characterized by excessive tachycardia and decreased cerebral blood flow in the upright position. This can result in significant symptoms of dizziness and light-headedness that can eventually lead to syncope. In this review, we describe two patients with POTS that varied in their degree of symptoms and treatment. One patient was able to be treated as an outpatient, while the other required hospitalization and extensive medical therapy. We would like to emphasize with this review that POTS is probably more common than it is diagnosed and is often confused with other conditions, such as chronic fatigue syndrome or functional syncope. It is important to make the correct diagnosis in order to allow appropriate treatment and to improve the quality of life for these patients.

摘要

体位性直立性心动过速综合征(POTS)是一种直立不耐受类型,其特征是在直立位时出现过度心动过速和脑血流量减少。这可导致明显的头晕和眩晕症状,最终可能导致晕厥。在本综述中,我们描述了两名POTS患者,他们的症状程度和治疗情况各不相同。一名患者能够作为门诊病人接受治疗,而另一名患者则需要住院并接受广泛的药物治疗。我们希望通过本综述强调,POTS可能比已诊断的更为常见,并且常常与其他病症混淆,如慢性疲劳综合征或功能性晕厥。做出正确诊断对于给予适当治疗以及改善这些患者的生活质量非常重要。

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